Individual provider · Type 1 NPI

Dominique Carrillo

Clinical Social Worker · Tucson, AZ

NPI number 1174487482 Active

Practice location

2224 N Craycroft Rd Ste 100
Tucson, AZ 85712-2811

Call (520) 201-0730 Map

Fax (520) 614-6050

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23475 (AZ)

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 1174487482

Dominique Carrillo's National Provider Identifier is 1174487482, issued on Dec 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tucson, AZ. The record was last updated on Dec 11, 2025.