Active NPI
Donnell Decarlo Dunaway, CDCA
- Social Worker
- Euclid, OH
National Provider Identifier
1689163958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2202732-TRNE
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.162612 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LCDCIII.162452 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2202732-TRNE | OH | MD | Social 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.