Provider Demographics
NPI:1730392085
Name:DONNER, KATHERINE W (MSW)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:W
Last Name:DONNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 CITY LINE AVENUE
Mailing Address - Street 2:PRESIDENTIAL CITY APARTMENTS SUITE D-121
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131
Mailing Address - Country:US
Mailing Address - Phone:215-473-8800
Mailing Address - Fax:
Practice Address - Street 1:3900 CITY LINE AVENUE
Practice Address - Street 2:PRESIDENTIAL CITY APARTMENTS SUITE D-121
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131
Practice Address - Country:US
Practice Address - Phone:215-473-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001535L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical