Provider Demographics
NPI:1992870877
Name:ANDREWS, DONNA LEE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LEE
Last Name:ANDREWS
Suffix:
Gender:F
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:PO BOX 2584
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04116-2584
Mailing Address - Country:US
Mailing Address - Phone:207-772-8500
Mailing Address - Fax:
Practice Address - Street 1:1486 BROADWAY
Practice Address - Street 2:SUITE A
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2602
Practice Address - Country:US
Practice Address - Phone:207-772-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-23
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC72611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical