Individual provider · Type 1 NPI

Beth A. Domingue, LCSW

Clinical Social Worker · Culver City, CA

NPI number 1649504465 Active

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Call (310) 945-3350 Map

Fax (310) 840-7023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X32872 (CA)
Rehabilitation Practitioner 225400000XNone listed
Clinical Social Worker Primary 1041C0700X85661 (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 1649504465

Beth A. Domingue, LCSW's National Provider Identifier is 1649504465, issued on Sep 25, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Culver City, CA. The record was last updated on Sep 29, 2026.