Individual provider · Type 1 NPI

Barbara Dominic, LICSW

Clinical Social Worker · Orleans, MA

NPI number 1629183892 Active

Practice location

165 Old Kings Highway
Orleans, MA 02653

Mailing address

250 S Eastham St
Eastham, MA 02642-2656

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108023 (MA)
Clinical Social Worker 1041C0700X0904002192 (VA)

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 1629183892

Barbara Dominic, LICSW's National Provider Identifier is 1629183892, issued on Aug 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orleans, MA. The record was last updated on Jul 8, 2007.