MRS. JESSICA CATHERINE DOMINGUEZ (NPI# 1407176209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407176209 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA CATHERINE DOMINGUEZ |
| Credential | LCSW |
| Practice Address |
11 Route 111 Smithtown NY 11787-3712 |
| Practice Telephone | 6319208300 |
| Practice Fax Number | 6319208460 |
| Mailing Telephone | 6319208300 |
| Mailing Fax Number | 6319208460 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 080537-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
082105 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649973 | Jessica Dominguez | Nurse Practitioner | 300 N Commercial St Ste 200, Neenah, WI 54956-2619 | 2020-08-14 |
| 1154853463 | Jessica Dominguez | Specialist/Technologist | 636 Sitka Dr, Walnut Creek, CA 94598-1738 | 2017-03-28 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1649886292 | Jessica Elizabeth Dominguez | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2020-09-18 |
| 1063042802 | Jessica Dominguez | Massage Therapist | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2020-01-21 |
| 1720588247 | Jessica Paola Dominguez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-02-21 |
| 1275988396 | Jessica Dominguez | Internal Medicine | 6431 Fannin St, Suite Msb 1.134, Houston, TX 77030-1501 | 2016-04-26 |
| 1083047948 | Jessica Dominguez | Student in an Organized Health Care Education/Training Program | 1980 Allston Way, Berkeley, CA 94704-1463 | 2013-08-14 |
| 1326323213 | Jessica Dominguez | Pharmacist | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2011-10-11 |
| 1700038064 | Jessica Suheit Dominguez | Counselor | 490 Chadbourne Rd, Ste A, Fairfield, CA 94534-9613 | 2008-10-17 |
| Street Address |
11 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200011 | Tara Marie Brunswick | Social Worker | 11 Route 111, Smithtown, NY 11787-3712 | 2006-08-09 |
| 1528667565 | Aleah Sophia Innis | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-21 |
| 1174120018 | Andrea Lynn Crisci | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-05 |
| 1811504491 | Katie Hodgson | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-09-28 |
| 1659981470 | Kelly Sass | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-08-06 |
| 1588298731 | New Horizons | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-26 |
| 1972135481 | April Marie Lee | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-12 |
| 1538791702 | Talia Renee Hughes | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-06 |
| 1861032260 | Maryclare Anderson | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
| 1770123184 | Guillermo F Sandoval | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008775 | Telemhealth Inc | Social Worker | 132 Grandview Ln, Smithtown, NY 11787-4264 | 2020-06-25 |
| 1902445810 | Aby George Chacko | Social Worker | 111 New York Ave, Smithtown, NY 11787-3482 | 2019-12-26 |
| 1013551001 | Marianne Halderman | Social Worker | 39 Bayberry Ln, Smithtown, NY 11787-3927 | 2019-11-01 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1104382969 | Theresa A Keane | Social Worker | 285 Middle Country Rd # Ll5, Smithtown, NY 11787-2978 | 2019-02-18 |
| 1770065971 | Lauren Stacie Mccabe Sperber | Social Worker | 20 Gilbert Ave Ste 101, Smithtown, NY 11787-5312 | 2018-09-04 |
| 1316449242 | Melissa G Shikora | Social Worker | 732 Smithtown Byp Ste 304, Smithtown, NY 11787-5020 | 2018-03-07 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1144767443 | Erica Jean Whitehurst | Social Worker | 30 South Ave, Smithtown, NY 11787-3845 | 2017-01-24 |
| 1104282110 | Thomas E. Conway, Lcsw, P.C. | Social Worker | 1050 W Jericho Tpke, Smithtown, NY 11787-3242 | 2016-01-06 |
| Find all providers in SMITHTOWN | ||||
Please comment or provide details below to improve the information on MRS. JESSICA CATHERINE DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.