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Contact Information

DONNA L HAVENS, LCSW
12301 GRAPEFIELD RD
BASTIAN, VA24314
 Phone: 276-688-4331
 Fax: 276-688-4336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DONNA L HAVENS · (Female)

NPI Number 1487768495
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/18/2006
Last updated 04/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904001753
  • VA Medicaid 005410916
  • VA Medicaid 008963312
  • VA Medicaid 010383277
  • VA Other 463014 ALLIANCE/MAPSI
  • VA Other 257838 BLUE CROSS BLUE SHIELD
  • VA Other 8957010 CIGNA
  • VA Other 171900 COMPSYCH
  • VA Other 541999431101 JOHN DEERE (UBH)
  • VA Other 01843900 MAGELLAN
  • VA Other 2121987 MAMSI
  • VA Other 200101 MHN
  • VA Other 247838 MTN STATE BC/BC
  • VA Other 257838 TRIGON HEALTHKEEPERS
  • VA Other 156228 VA, DEPT. REHAB. SERVICES
  • VA Other 032113 VALUE OPTIONS
  • VI Other 257838 ANTHEM BC &BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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