Individual provider · Type 1 NPI
Shadow-Lyte Jasmin Donavan, LCSW, LMT
Clinical Social Worker · Waunakee, WI
Practice location
251 Progress Way
Waunakee, WI 53597-2520
Mailing address
1950 Foggy Mountain Pass
Waunakee, WI 53597-2383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6526-123 (WI) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
Other clinical social worker providers in Waunakee
About NPI 1962057463
Shadow-Lyte Jasmin Donavan, LCSW, LMT's National Provider Identifier is 1962057463, issued on Aug 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waunakee, WI. The record was last updated on Jul 7, 2026.