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NPI Code Detail

MEDICARE: MS. JOAN DONATO LCSW

MEDICARE: MS. JOAN DONATO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker15161CA

General Provider Information

NPI Number : 1669482444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOAN DONATO LCSW
Provider Business Mailing Address
First Line : 20180 BIG BASIN WAY
Second Line :
City : BOULDER CREEK
State : CA
Zip : 95006-9005
Country : US
Telephone Number : 831-338-3952
Fax Number :
Provider Business Practice Location Address
First Line : 13350 BIG BASIN WAY
Second Line :
City : BOULDER CREEK
State : CA
Zip : 95006-9237
Country : US
Telephone Number : 831-337-7258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JOAN DONATO LCSW” Practice Location

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