Provider Demographics
NPI:1942377163
Name:HOPE, DONALD (LCSW)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:HOPE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 BAINBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1108
Mailing Address - Country:US
Mailing Address - Phone:860-236-3220
Mailing Address - Fax:860-231-9679
Practice Address - Street 1:345 N MAIN ST
Practice Address - Street 2:SUITE 305
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-2515
Practice Address - Country:US
Practice Address - Phone:860-231-1126
Practice Address - Fax:860-231-9679
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0027291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical