Healthcare Provider Details

I. General information

NPI: 1780548974
Provider Name (Legal Business Name): GABRIELLE ROSE DONATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E PUTNAM AVE STE 108
GREENWICH CT
06830-5408
US

IV. Provider business mailing address

76 COLUMBUS PL UNIT 1A
STAMFORD CT
06907-6602
US

V. Phone/Fax

Practice location:
  • Phone: 203-587-7956
  • Fax:
Mailing address:
  • Phone: 203-970-0037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10401
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: