Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Donna Tina May Glissendorf, MSW, LCSW, CSAC

Individual provider Clinical Social Worker · NPI 1306187240

Mrs. Donna Tina May Glissendorf, MSW, LCSW, CSAC is a Clinical Social Worker in Fond Du Lac, Wisconsin. Qualified in 2016, 10 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-4200
Fax: (920) 926-8933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9255-123 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15953-132 (WI)

Record details

NPI number1306187240
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , CSAC
Sole proprietorNo
NPI enumeratedMarch 1, 2013
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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