Healthcare Provider Details

I. General information

NPI: 1306523386
Provider Name (Legal Business Name): SARAH NOEL DONATO CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 N STATE ST STE 201
OREM UT
84057-4781
US

IV. Provider business mailing address

255 S UNIVERSITY AVE APT C206
PROVO UT
84601-4596
US

V. Phone/Fax

Practice location:
  • Phone: 833-803-3883
  • Fax:
Mailing address:
  • Phone: 707-334-3778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13444775-3502
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: