Provider Demographics
NPI:1760994628
Name:FOSNIGHT, DONNA M (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:FOSNIGHT
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:CORREGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:2023 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1349
Mailing Address - Country:US
Mailing Address - Phone:740-283-3347
Mailing Address - Fax:740-283-2709
Practice Address - Street 1:2023 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1349
Practice Address - Country:US
Practice Address - Phone:740-283-3347
Practice Address - Fax:740-283-2709
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1903682104100000X, 104100000X
104100000X
OHOCPSA.161426405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No405300000XOther Service ProvidersPrevention Professional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCDCA.163984OtherLICENSE NUMBER