Individual provider Active NPI

Donnell Decarlo Dunaway, CDCA

  • Social Worker
  • Euclid, OH
National Provider Identifier
1689163958
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2202732-TRNE Issued in OH
Practice address
20611 Euclid Ave
Euclid, OH 44117-1521
Phone
(855) 967-2436
NPI assigned
May 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.162612 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.162452 OH
Social Worker 104100000X S.2202732-TRNE OH Primary

Addresses

Primary practice location

20611 Euclid Ave
Euclid, OH 44117-1521

Mailing address

25640 Glenbrook Blvd
Euclid, OH 44117-1824
Phone (216) 482-0229

Other practice location 1

1744 Payne Ave
Cleveland, OH 44114-2910
Phone (216) 623-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.162612OHMDAddiction (Substance Use Disorder) Counselor
LCDCIII.162452OHMDAddiction (Substance Use Disorder) Counselor
S.2202732-TRNEOHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1689163958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25640 GLENBROOK BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171824",
            "telephone_number": "216-482-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20611 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171521",
            "telephone_number": "855-967-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 Payne Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142910",
            "country_code": "US",
            "telephone_number": "216-623-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "DONNELL",
        "middle_name": "DECARLO",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.162612",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.162452",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2202732-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.