Individual provider · Type 1 NPI

Nicole Leann Dominguez, LCSW

Clinical Social Worker · San Jose, CA

NPI number 1437700200 Active

Practice location

2425 Samaritan Dr
San Jose, CA 95124-3908

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X91221 (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 1437700200

Nicole Leann Dominguez, LCSW's National Provider Identifier is 1437700200, issued on Sep 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Jan 31, 2020.