MEDICARE: DONNA SAUNDERS LCADC, LSW

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	104100000X	Social Worker
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00365500	NJ

General Provider Information

NPI Number	:	1629533625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA SAUNDERS LCADC, LSW

Provider Business Mailing Address
First Line	:	401 US HIGHWAY 22 APT 39F
Second Line	:
City	:	NORTH PLAINFIELD
State	:	NJ
Zip	:	07060-3855
Country	:	US
Telephone Number	:	908-451-0075
Fax Number	:

Provider Business Practice Location Address
First Line	:	786 MOUNTAIN BLVD STE 104
Second Line	:
City	:	WATCHUNG
State	:	NJ
Zip	:	07069-6268
Country	:	US
Telephone Number	:	908-293-7204
Fax Number	:

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

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	03/11/2026

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