Individual provider · Type 1 NPI

Jessica Catherine Dominguez, LCSW

Clinical Social Worker · Smithtown, NY

NPI number 1407176209 Active

Practice location

11 Route 111
Smithtown, NY 11787-3712

Call (631) 920-8300 Map

Fax (631) 920-8460

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X080537-1 (NY)
Clinical Social Worker Primary 1041C0700X082105 (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 1407176209

Jessica Catherine Dominguez, LCSW's National Provider Identifier is 1407176209, issued on Jun 3, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Smithtown, NY. The record was last updated on Aug 20, 2015.