# DONALD R GIDNEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891082418
- **Gender:** Man
- **Credential:** LISW-CP, LCSW, LCAS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1916 | NC | — |
| 1041C0700X | Clinical Social Worker | 10722 | SC | Yes |
| 1041C0700X | Clinical Social Worker | C008711 | NC | — |

## Other

- **Enumeration date:** 07/03/2011
- **Last updated:** 02/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SW1234 | — | SC |