MEDICARE: CHARLENE E DONES LCSWR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0732215-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215976790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE E DONES LCSWR

Provider Business Mailing Address
First Line	:	PO BOX 1504
Second Line	:
City	:	MONTICELLO
State	:	NY
Zip	:	12701-8504
Country	:	US
Telephone Number	:	914-564-5426
Fax Number	:

Provider Business Practice Location Address
First Line	:	3265 JOHNSON AVE STE 204
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3539
Country	:	US
Telephone Number	:	570-404-5588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	03/07/2023

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