Mrs Donalisa June Mcnichols, LSW, LCDC III is a
Social Worker based in Toledo, Ohio. Mrs Donalisa June Mcnichols is licensed to practice in Ohio (license number S.0024320) and her current practice location is
115 S. Reynolds Rd., Toledo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 725-6631.
NPI number for Mrs Donalisa June Mcnichols is 1790233674 and her current mailing address is 115 S. Reynolds Rd., Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790233674.
Healthcare Provider's Profile
| Full Name | Mrs Donalisa June Mcnichols |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 115 S. Reynolds Rd., Toledo, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790233674
- Provider Enumeration Date: 09/20/2016
- Last Update Date: 09/18/2019
Medical Identifiers
Medical identifiers for Mrs Donalisa June Mcnichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790233674 | NPI | - | NPPES |
| 0276549 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.081164 (Ohio) | Secondary |
| 104100000X | Social Worker | S.0024320 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Donalisa June Mcnichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Donalisa June Mcnichols, LSW, LCDC III
115 S. Reynolds Rd.,
Toledo, OH 43615
Ph: (419) 725-6631 | Mrs Donalisa June Mcnichols, LSW, LCDC III
115 S. Reynolds Rd.,
Toledo, OH 43615
Ph: (419) 725-6631 |
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