Individual provider · Type 1 NPI
Christopher Dominguez, LICENSED SOCIAL WORK
Clinical Social Worker · Chicago, IL
Practice location
1701 W Superior St
Chicago, IL 60622-5646
Mailing address
2747 S Avers Ave
Chicago, IL 60623-4510
Other practice locations
- 708 Church St Ste 247, Evanston, IL 60201-3840 · (773) 357-6152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37399 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.025775 (IL) |
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 1831803444
Christopher Dominguez, LICENSED SOCIAL WORK's National Provider Identifier is 1831803444, issued on Jan 9, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 16, 2024.