Provider Demographics
NPI:1992805170
Name:DOOLIN, DONNA M (LSCSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:DOOLIN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3438 SE MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-2656
Mailing Address - Country:US
Mailing Address - Phone:785-267-2599
Mailing Address - Fax:
Practice Address - Street 1:1709 SW MEDFORD AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3147
Practice Address - Country:US
Practice Address - Phone:785-640-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical