Donna Marie Moulton, LMSW is a
Social Worker - Clinical based in La Fayette, Georgia. Donna Marie Moulton is licensed to practice in Georgia (license number MSW006463) and her current practice location is
501 Mize St, La Fayette, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 639-5634.
NPI number for Donna Marie Moulton is 1093119679 and her current mailing address is 501 Mize St, La Fayette, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093119679.
Healthcare Provider's Profile
Full Name | Donna Marie Moulton |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 501 Mize St, La Fayette, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093119679
- Provider Enumeration Date: 10/10/2014
- Last Update Date: 10/19/2015
Medical Identifiers
Medical identifiers for Donna Marie Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093119679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | MSW006463 (Georgia) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donna Marie Moulton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Donna Marie Moulton, LMSW 501 Mize St, La Fayette, GA 30728-3346 Ph: (706) 639-5634 | Donna Marie Moulton, LMSW 501 Mize St, La Fayette, GA 30728-3346 Ph: (706) 639-5634 |
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