Healthcare Provider Details

I. General information

NPI: 1700910361
Provider Name (Legal Business Name): DONNETTE JOSEPH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1793 SHEFFIELD DR
YPSILANTI MI
48198-3633
US

IV. Provider business mailing address

1793 SHEFFIELD DR
YPSILANTI MI
48198-3633
US

V. Phone/Fax

Practice location:
  • Phone: 734-780-1049
  • Fax:
Mailing address:
  • Phone: 734-780-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC-02072
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801067774
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: