Provider Demographics
NPI:1952508574
Name:DONATO, DONNA L (LCSW, LCAS,CCS, LPC-)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:L
Last Name:DONATO
Suffix:
Gender:F
Credentials:LCSW, LCAS,CCS, LPC-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5878
Mailing Address - Country:US
Mailing Address - Phone:561-301-9868
Mailing Address - Fax:
Practice Address - Street 1:1405 HILLSBOROUGH ST STE 206
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1828
Practice Address - Country:US
Practice Address - Phone:561-301-9868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW61161041C0700X
FLCAP 1428101YA0400X
NCC1054601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11821535Medicaid