Provider Demographics
NPI:1679107494
Name:DONNINI, JULIA CLARE (LCSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CLARE
Last Name:DONNINI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10588 STONE CANYON RD APT 151
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-4416
Mailing Address - Country:US
Mailing Address - Phone:469-955-9424
Mailing Address - Fax:
Practice Address - Street 1:4425 PLANO PKWY STE 701
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-5031
Practice Address - Country:US
Practice Address - Phone:469-955-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
637831041C0700X
TX637831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical