Individual provider · Type 1 NPI

Susan Arleen Domine, LCSW

Clinical Social Worker · Pepperell, MA

NPI number 1639231608 Active

Practice location

25 West St
Pepperell, MA 01463-1271

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW003507 (GA)

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 1639231608

Susan Arleen Domine, LCSW's National Provider Identifier is 1639231608, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pepperell, MA. The record was last updated on Sep 24, 2025.