Healthcare Provider Details

I. General information

NPI: 1366238727
Provider Name (Legal Business Name): LION'S TOOTH COUNSELING, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1293 UNION RD
WEST SENECA NY
14224-2941
US

IV. Provider business mailing address

211 COVINGTON DR
BUFFALO NY
14220-2811
US

V. Phone/Fax

Practice location:
  • Phone: 716-316-3730
  • Fax: 716-503-4286
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN DONISI
Title or Position: CO-OWNER
Credential: LCSW
Phone: 716-982-1205