Provider Demographics
NPI:1982430062
Name:HEWITT, DONNA ANN-MARIE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ANN-MARIE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 FLEETWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2313
Mailing Address - Country:US
Mailing Address - Phone:862-251-2696
Mailing Address - Fax:
Practice Address - Street 1:22 FLEETWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2313
Practice Address - Country:US
Practice Address - Phone:862-251-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05769900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker