Individual provider · Type 1 NPI

Carolina Maite Dominguez

Clinical Social Worker · St. Louis, MO

NPI number 1871103390 Active

Practice location

5355 Page Blvd
St. Louis, MO 63112-3414

Mailing address

5355 Page Blvd # MO63112
St. Louis, MO 63112-3414

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1871103390

Carolina Maite Dominguez's National Provider Identifier is 1871103390, issued on Aug 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Aug 10, 2020.