MEDICARE: DONNA TAYLOR VANHORN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904003289	VA

General Provider Information

NPI Number	:	1629025440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA TAYLOR VANHORN LCSW

Provider Business Mailing Address
First Line	:	136 W ELIZABETH ST STE 201
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22802-3855
Country	:	US
Telephone Number	:	405-564-5104
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 W ELIZABETH ST STE 201
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22802-3855
Country	:	US
Telephone Number	:	405-564-5104
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/12/2022

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