Individual provider · Type 1 NPI

Roxanne Domenech, LCSW

Clinical Social Worker · Jamaica, NY

NPI number 1104549559 Active

Practice location

9027 Sutphin Blvd
Jamaica, NY 11435-3647

Call (718) 799-6441 Map

Mailing address

6 Pine Pl
Glen Cove, NY 11542-1451

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X092523 (NY)
Clinical Social Worker Primary 1041C0700X095775 (NY)

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 1104549559

Roxanne Domenech, LCSW's National Provider Identifier is 1104549559, issued on Sep 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica, NY. The record was last updated on Jul 16, 2023.