Individual
MS. DONNA L HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12301 GRAPEFIELD RD, BASTIAN, VA 24314
(276) 688-4331
(276) 688-4336
Mailing address
12301 GRAPEFIELD RD, BASTIAN, VA 24314
(276) 688-4331
(276) 688-4336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005410916
—
VA
05
—
008963312
—
VA
05
—
010383277
—
VA
01
—
01843900
MAGELLAN
VA
01
—
032113
VALUE OPTIONS
VA
01
—
156228
VA, DEPT. REHAB. SERVICES
VA
01
—
171900
COMPSYCH
VA
01
—
200101
MHN
VA
01
—
2121987
MAMSI
VA
01
—
247838
MTN STATE BC/BC
VA
01
—
257838
TRIGON HEALTHKEEPERS
VA
01
—
257838
ANTHEM BC &BS
VI
01
—
463014
ALLIANCE/MAPSI
VA
01
—
541999431101
JOHN DEERE (UBH)
VA
01
—
8957010
CIGNA
VA
Enumeration date
08/18/2006
Last updated
04/07/2020
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