Individual provider · Type 1 NPI

Marcelle Dominguez, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1023257656 Active

Practice location

576 B St, Suite 1-B
Santa Rosa, CA 95401-5273

Call (707) 339-0398 Map

Mailing address

665 Ferguson Rd
Sebastopol, CA 95472-9637

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25110 (CA)

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…

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About NPI 1023257656

Marcelle Dominguez, LCSW's National Provider Identifier is 1023257656, issued on Feb 4, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 8, 2011.