Ms Kendra Jean Donaldson, LCSW, LPHA is a
Social Worker - Clinical based in Madison, Illinois. Ms Kendra Jean Donaldson is licensed to practice in Illinois (license number 149016450) and her current practice location is
648 State St, Madison, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 709-7612.
NPI number for Ms Kendra Jean Donaldson is 1073936530 and her current mailing address is 648 State St, Madison, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073936530.
Healthcare Provider's Profile
Full Name | Ms Kendra Jean Donaldson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 648 State St, Madison, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073936530
- Provider Enumeration Date: 02/03/2014
- Last Update Date: 02/03/2014
Medical Identifiers
Medical identifiers for Ms Kendra Jean Donaldson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073936530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149016450 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kendra Jean Donaldson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kendra Jean Donaldson, LCSW, LPHA 648 State St, Madison, IL 62060-1420 Ph: (618) 709-7612 | Ms Kendra Jean Donaldson, LCSW, LPHA 648 State St, Madison, IL 62060-1420 Ph: (618) 709-7612 |
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