| Ms Brenda B Donald, LCSW, BCD | |
|
133 Executive Dr, Suite B, Madison, MS 39110-8440 | |
| (601) 898-7778 | |
| Not Available |
| Full Name | Ms Brenda B Donald |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 133 Executive Dr, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114047677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C0902 (Mississippi) | Primary |
| Entity Name | Brenda B Donald, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811408545 PECOS PAC ID: 0749665941 Enrollment ID: O20220923000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Brenda B Donald, LCSW, BCD 133 Executive Dr, Suite B, Madison, MS 39110-8440 Ph: (601) 898-7778 | Ms Brenda B Donald, LCSW, BCD 133 Executive Dr, Suite B, Madison, MS 39110-8440 Ph: (601) 898-7778 |
Pamela D Stalder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 254 Ingleside Dr, Madison, MS 39110 Phone: 601-695-1919 Fax: 601-420-5299 | |
Kristin Wallace, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 Ebenezer Blvd, Madison, MS 39110 Phone: 601-790-0583 | |
Cheri L Nyegaard Holbrook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 254 Ingleside Dr, Madison, MS 39110 Phone: 601-695-1919 Fax: 601-420-5299 | |
Fred Rickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 254 Ingleside Dr, Madison, MS 39110 Phone: 601-695-1919 Fax: 601-420-5299 | |
Melinda Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 254 Ingleside Dr, Madison, MS 39110 Phone: 601-695-1919 Fax: 601-420-5299 | |
Melanie L Moreau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 254 Ingleside Dr, Madison, MS 39110 Phone: 601-695-1919 Fax: 601-420-5299 |