Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow-Lyte Jasmin Donavan, LCSW, LMT

Individual provider Clinical Social Worker · NPI 1962057463

Shadow-Lyte Jasmin Donavan, LCSW, LMT is a Clinical Social Worker in Waunakee, Wisconsin. Qualified in 1994, 32 years ago. Practices with Four Winds Counseling LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Licensed in
WI
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

251 Progress Way
Waunakee, WI 53597-2520
Phone: (608) 409-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6526-123 (WI)

Record details

NPI number1962057463
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LMT
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Four Winds Counseling Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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