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General NPI Number Information
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NPI Number | 1619420734
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Entity Type | Individual
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Provider Name | DONNA MCDERMOTT LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 24 FRONT ST STE 100
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City | EXETER
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State | NH
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Zip | 03833-2727
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Country | US
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Telephone | 603-803-3146
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Fax |
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Provider Business Mailing Address
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Address Line | 44 WHARF ST APT 208
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City | WEYMOUTH
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State | MA
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Zip | 02189-2745
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Country | US
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Telephone | 603-803-3146
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2404
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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