Provider Demographics
NPI:1548629629
Name:HIGGINS, DONNA (LCSW, LMPH)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LCSW, LMPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 ELLIS POND RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-4437
Mailing Address - Country:US
Mailing Address - Phone:402-889-8522
Mailing Address - Fax:
Practice Address - Street 1:221 ELLIS POND RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4437
Practice Address - Country:US
Practice Address - Phone:402-889-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15881041C0700X
NE37431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical