Individual provider · Type 1 NPI

Dominique Foster, LCSWA

Clinical Social Worker · Matthews, NC

NPI number 1104783869 Active

Practice location

5060 Stonehill Ln
Matthews, NC 28104-6117

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023526 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-31150 (NC)

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 1104783869

Dominique Foster, LCSWA's National Provider Identifier is 1104783869, issued on Jan 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Matthews, NC. The record was last updated on Jun 9, 2026.