Provider Demographics
NPI:1730306747
Name:FESTA, DONNA (LCSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:FESTA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DONNAMARIE
Other - Middle Name:
Other - Last Name:FESTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:83 MAIN ST
Mailing Address - Street 2:UNIT D1
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3673
Mailing Address - Country:US
Mailing Address - Phone:914-844-5734
Mailing Address - Fax:
Practice Address - Street 1:20 HOSPITAL ROAD
Practice Address - Street 2:OPD
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-2621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0279881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical