Individual provider · Type 1 NPI
Marc Adrian Dominguez, LCSW
Clinical Social Worker · Boise, ID
Practice location
1299 N Orchard St Ste 110
Boise, ID 83706-2266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW-42533 (ID) |
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 1528690773
Marc Adrian Dominguez, LCSW's National Provider Identifier is 1528690773, issued on Feb 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Aug 21, 2026.