Healthcare Provider Details

I. General information

NPI: 1235207382
Provider Name (Legal Business Name): DONNA V. HUNTINGTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 EVERGREEN DR STE 103
GLEN MILLS PA
19342-1053
US

IV. Provider business mailing address

600 EVERGREEN DR STE 103
GLEN MILLS PA
19342-1053
US

V. Phone/Fax

Practice location:
  • Phone: 610-232-7404
  • Fax: 302-994-7827
Mailing address:
  • Phone: 610-892-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001079
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW021590
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: