Healthcare Provider Details

I. General information

NPI: 1841786076
Provider Name (Legal Business Name): KAITLYND EMILY DONATO BSW, LSW, LCDC III
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29201 AURORA RD
SOLON OH
44139-1846
US

IV. Provider business mailing address

29201 AURORA RD
SOLON OH
44139-1846
US

V. Phone/Fax

Practice location:
  • Phone: 800-577-2054
  • Fax:
Mailing address:
  • Phone: 800-577-2054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2308919
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDCIII.162256
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: