Donna M. Bornfriend, LCSW
Social Worker, Clinical in Smithtown, NY. Individual provider (NPI-1).
NPI number1619085537
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1619085537
- Entity type
- Individual (NPI-1)
- Name
- Donna M. Bornfriend
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Aug 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R053684 | NY | Yes |
Practice location
11 Route 111Smithtown, NY 11787-3712
Phone 631-920-8300
Mailing address
51 Havemeyer LnCommack, NY 11725-2033
Phone 631-486-8749
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