Provider Demographics
NPI:1144478397
Name:DONALDSON, JENNY KATHRYN (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:KATHRYN
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:JENNY
Other - Middle Name:KATHRYN
Other - Last Name:DAPRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:6800 SAINT PETERS LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-8458
Mailing Address - Country:US
Mailing Address - Phone:704-536-0375
Mailing Address - Fax:704-531-9266
Practice Address - Street 1:6800 SAINT PETERS LN
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-8458
Practice Address - Country:US
Practice Address - Phone:704-536-0375
Practice Address - Fax:704-531-9266
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0059671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical