MRS. DONALISA JUNE MCNICHOLS


Address: 115 S. Reynolds Rd., Toledo, OH 43615
Phone: 4197256631

MRS. DONALISA JUNE MCNICHOLS (NPI# 1790233674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790233674
Entity Type Individual
Full Name MRS. DONALISA JUNE MCNICHOLS
Credential LSW, LCDC III
Practice Address 115 S. Reynolds Rd.
Toledo
OH 43615
Practice Telephone 4197256631
Practice Fax Number 4197256635
Mailing Telephone 4197256631
Mailing Fax Number 4197256635
Enumeration Date 2016-09-20
Last Update Date 2019-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCDCIII.081164 OH Behavioral Health & Social Service Providers
Y 104100000X Social Worker S.0024320 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0276549 05

Office Location

Street Address 115 S. REYNOLDS RD.
City TOLEDO
State OH
Zip Code 43615

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518507219 Malcolm Banks Case Manager/Care Coordinator 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 2020-01-10
1730670076 Ericka Catchings Counselor 1124 Wenz Rd, Toledo, OH 43615 2018-05-22
1124516174 Ashton Kovic Case Manager/Care Coordinator 9715 Dorr St., Toledo, OH 43615 2018-04-25
1154863777 Sheron Jenece Garmon Occupational Therapist 5963 Luddington Dr, Toledo, OH 43615 2016-11-14
1558813394 Alexander Jacoby Specialist/Technologist 1001 N Warpole St, Toledo, OH 43615 2016-10-27
1790130326 Eagle Medical Transportation LLC Non-emergency Medical Transport (VAN) 3409 Holland Sylvania Rd #3, Toledo, OH 43615 2016-05-02
1073972519 Rhonda Stanley Registered Nurse 115 S Reynolds Rd Ste C, Toledo, OH 43615 2016-02-12
1043635626 Ciera Larae Wilcox Home Health Aide 360. S Reynolds Rd, Toledo, OH 43615 2014-02-19
1336560317 Ariel Monique Greenleaf Registered Nurse 4661 Ventura Dr, Toledo, OH 43615 2013-12-18
1427494368 Kimberly Sherese Quinn Licensed Practical Nurse 4139 Belmar Ave, Toledo, OH 43615 2013-05-20
Find all providers in zip 43615

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982213526 Purecare LLC Social Worker 5242 Angola Rd Ste 170, Toledo, OH 43615-6336 2020-07-29
1710470844 Amy Jo Bowmer Social Worker 5330 Heatherdowns Blvd Ste 100, Toledo, OH 43614-4644 2018-06-13
1407362825 Luana Holub Social Worker 5904 Gay St, Toledo, OH 43613-1132 2017-12-20
1841706694 Deborah Bell Social Worker 3222 W Central Ave, Toledo, OH 43606-2929 2017-12-15
1043722267 Megan Ansted Social Worker 1219 Jefferson Ave, Toledo, OH 43604-5836 2017-10-27
1336651769 Kendra Lucius Social Worker 1946 N 13th St Ste 485, Toledo, OH 43604-7258 2017-10-25
1093226169 Rachel Patricia Gombos Social Worker 4159 N Holland Sylvania Rd Ste 205, Toledo, OH 43623-4801 2017-10-17
1407375090 Keyana Renee Galloway Social Worker 500 Madison Ave Ste 300, Toledo, OH 43604 2017-09-14
1306373014 Salwa Beydoun Social Worker 701 Jefferson, Toledo, OH 43604 2017-05-12
1407380728 Arika Speicher Social Worker 830 N. Summit St. Suite 2, Toledo, OH 43604 2017-04-13
Find all providers in TOLEDO

Competitor

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City TOLEDO
Zip Code 43615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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