Donna Jo Hague, L.C.S.W. 65625

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65625 Issued in CA

Practice address

22620 Powhatan Rd
22620 Powhatan Rd
Apple Valley, CA 92308-6637

Phone

(760) 247-0601

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Donna Jo Diamond Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1386777233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2841",
            "address_2": "22620 POWHATAN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070054",
            "telephone_number": "760-247-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22620 POWHATAN RD",
            "address_2": "22620 POWHATAN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923086637",
            "telephone_number": "760-247-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGUE",
        "first_name": "DONNA",
        "middle_name": "JO",
        "credential": "L.C.S.W. 65625",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "DIAMOND",
            "middle_name": "JO",
            "credential": "MSW INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Linnette Gutierrez, NURSE PRACTITIONER
• Meaghan Anne Gutierrez
• Patricia Gutierrez, NP
• Gloria Gyimah, PHARMD
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• Derek Hale
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• Canstanze Hall
• Claudia Lynn Hall, FNP

• Clinical Social Worker in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.