Healthcare Provider Details

I. General information

NPI: 1720261977
Provider Name (Legal Business Name): DONNA BOLGER LCSW, CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 NORWICH WAY APT 202
DOVER DE
19901-1626
US

IV. Provider business mailing address

240 NORWICH WAY
DOVER DE
19901-1626
US

V. Phone/Fax

Practice location:
  • Phone: 302-342-4048
  • Fax:
Mailing address:
  • Phone: 302-342-4048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0013043
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: