Individual provider · Type 1 NPI

Donna Tina May Glissendorf, MSW, LCSW, CSAC

Clinical Social Worker · Fond Du Lac, WI

NPI number 1306187240 Active

Practice location

430 E Division St
Fond Du Lac, WI 54935-4560

Fax (920) 926-8933

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9255-123 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X15953-132 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1306187240

Donna Tina May Glissendorf, MSW, LCSW, CSAC's National Provider Identifier is 1306187240, issued on Mar 1, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 3, 2020.