Provider Demographics
NPI:1992748685
Name:DONLON, DAVID K (LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:DONLON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 E FRANKLIN ST
Mailing Address - Street 2:SUITE 1200 D
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5861
Mailing Address - Country:US
Mailing Address - Phone:919-929-6445
Mailing Address - Fax:919-913-4201
Practice Address - Street 1:1829 E FRANKLIN ST
Practice Address - Street 2:SUITE 1200 D
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5861
Practice Address - Country:US
Practice Address - Phone:919-929-6445
Practice Address - Fax:919-913-4201
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0011551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106031Medicaid
NC6106031Medicaid