Healthcare Provider Details

I. General information

NPI: 1073770848
Provider Name (Legal Business Name): DONALEE L ROOKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOARS HEAD PL STE 230
CHARLOTTESVILLE VA
22903-4628
US

IV. Provider business mailing address

6989 BATESVILLE RD
AFTON VA
22920-1847
US

V. Phone/Fax

Practice location:
  • Phone: 434-448-4804
  • Fax:
Mailing address:
  • Phone: 434-964-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904006661
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: