Provider Demographics
NPI:1982986139
Name:DONES, ANTONIA IVETTE (LICSW)
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:IVETTE
Last Name:DONES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ANTONIA
Other - Middle Name:IVETTE
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:607 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2038
Mailing Address - Country:US
Mailing Address - Phone:413-206-8469
Mailing Address - Fax:
Practice Address - Street 1:607 NEWTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2038
Practice Address - Country:US
Practice Address - Phone:413-206-8469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220079-2104100000X
MA1223341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker