Provider Demographics
NPI:1588729743
Name:PAPPALARDO, DONNA DOYLE (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:DOYLE
Last Name:PAPPALARDO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5426
Mailing Address - Country:US
Mailing Address - Phone:914-779-9748
Mailing Address - Fax:914-725-1700
Practice Address - Street 1:155 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5426
Practice Address - Country:US
Practice Address - Phone:914-779-9748
Practice Address - Fax:914-725-1700
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0287801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN32301Medicare ID - Type UnspecifiedLCSW