Individual provider Active NPI

Drusilea Donato, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
National Provider Identifier
1093558124
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29859 Issued in MN
Practice address
413 SE 13TH St
Grand Rapids, MN 55744-0015
Phone
(218) 999-9908
Fax
(218) 999-7068
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29859 MN Primary

Addresses

Primary practice location

413 SE 13TH St
Grand Rapids, MN 55744-0015

Mailing address

303 SE 1St St
Grand Rapids, MN 55744-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002964 MN Practitioner - Clinical Social Worker 6608313820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Range Mental Health CenterGroup PAC ID 3173434628, 17 clinicians

Practice addresses (Care Compare)

3203 3Rd Ave W
Hibbing, MN 55746-2406
Phone (218) 263-9237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29859MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Range Mental Health Center CurrentSince Jun 30, 2025 Accepting new patients
Range Mental Health Center Inc PastSince Jun 30, 2025 Accepting new patients

Locations

3203 3rd Ave W
Hibbing, MN 55746
Phone (218) 263-9237

624 13th St S
Virginia, MN 55792
Phone (218) 749-2881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1093558124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SE 1ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443681",
            "fax_number": "218-999-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SE 13TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440015",
            "telephone_number": "218-999-9908",
            "fax_number": "218-999-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "DRUSILEA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.