Healthcare Provider Details

I. General information

NPI: 1073702296
Provider Name (Legal Business Name): DONNA GAIL FLETCHER LCSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DONNA GAIL ALCOTT LCSW-R

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 BROAD AVE
BINGHAMTON NY
13904-1406
US

IV. Provider business mailing address

20 GENESEE ST APT A
GREENE NY
13778-1217
US

V. Phone/Fax

Practice location:
  • Phone: 607-371-1369
  • Fax: 607-217-4253
Mailing address:
  • Phone: 607-371-1369
  • Fax: 607-217-4253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR077191
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: