Donalisa June McNichols, LSW, LCDC III

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0024320 Issued in OH

Practice address

115 S. Reynolds Rd.
Toledo, OH 43615

Phone

(419) 725-6631

Fax

(419) 725-6635

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pinnacle Treatment Centers Oh-IX, LLC

  dba Toledo Treatment Services

  • Methadone Clinic
  • Toledo, OH
  • NPI 1275096083
  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1790233674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S. REYNOLDS RD.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-725-6631",
            "fax_number": "419-725-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S. REYNOLDS RD.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-725-6631",
            "fax_number": "419-725-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLS",
        "first_name": "DONALISA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "LSW, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.081164",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0024320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria McNeal
• Shannon McNeely, QMHS
• Brandon McNeil
• Shelia Ann McNeil, INDEPENDENT PROVIDER
• Tashia L McNeir
• Jeremiah David McNutt
• John Ross McPherson Jr.
• Kevin McQueen
• Philip Joshua McQuillin
• Erin Elizabeth McQuinn, DDS

• Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.