Healthcare Provider Details

I. General information

NPI: 1760994628
Provider Name (Legal Business Name): DONNA M FOSNIGHT MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA M CORREGAN MSW, LISW

II. Dates (important events)

Enumeration Date: 11/01/2017
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 TOMMY HENRICH DR NW
MASSILLON OH
44647-5402
US

IV. Provider business mailing address

107 TOMMY HENRICH DR NW
MASSILLON OH
44647-5402
US

V. Phone/Fax

Practice location:
  • Phone: 330-832-9582
  • Fax: 330-833-7732
Mailing address:
  • Phone: 330-832-9582
  • Fax: 330-775-7463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.2608633
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: