Provider Demographics
NPI:1861573487
Name:HAROS, DONNA JOANNA (LICSW)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:JOANNA
Last Name:HAROS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:J
Other - Last Name:HAROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476
Mailing Address - Country:US
Mailing Address - Phone:617-855-3218
Mailing Address - Fax:
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 305
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476
Practice Address - Country:US
Practice Address - Phone:617-855-3218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10316711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP21950Medicare ID - Type Unspecified