Individual provider · Type 1 NPI

Carlo Tadeo Domingo, LMSW

Clinical Social Worker · East Point, GA

NPI number 1720107188 Active

Practice location

1513 Cleveland Ave, Building 300
East Point, GA 30344-6947

Mailing address

323 Windmont Dr NE
Atlanta, GA 30329-1023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMSW004235 (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 1720107188

Carlo Tadeo Domingo, LMSW's National Provider Identifier is 1720107188, issued on Mar 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Point, GA. The record was last updated on Jul 8, 2007.