DOMINIQUE DAVIS (NPI# 1417382375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417382375 |
| Entity Type | Individual |
| Full Name | DOMINIQUE DAVIS |
| Credential | LCSW |
| Practice Address |
900 Walt Whitman Rd Ste Ll1 Melville NY 11747-2215 |
| Mailing Address |
2455 Union Blvd Apt 4g Islip NY 11751-3149 |
| Practice Telephone | 5166985511 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
085815 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1417477456 | Dominique Nicole Davis | Behavior Technician | 100 Congress Ave Ste 1100, Austin, TX 78701-4042 | 2017-06-21 |
| 1851769913 | Dominique Davis | Specialist/Technologist | 2584 Fulbourne Dr, Cincinnati, OH 45231-1864 | 2015-09-07 |
| 1124647508 | Dominique Dionne Davis | Pharmacist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-04-15 |
| 1780956037 | Dominique Garcel Davis | Counselor | 701 Loyola Ave Ste 106, New Orleans, LA 70113-1912 | 2012-02-02 |
| Street Address |
900 WALT WHITMAN RD STE LL1 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568542157 | Michele Claire Albano | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2006-10-17 |
| 1669028254 | Martin Lieberman | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2019-08-10 |
| 1962961953 | Stephanie Saladino | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2019-03-18 |
| 1063977619 | Joanne Graziosi | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2019-02-07 |
| 1821552787 | Marie E Flanagan | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2019-01-24 |
| 1548732639 | Kerrie Ann Pelan | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2018-12-30 |
| 1134605595 | Visiting Counselors, Lcsw, Pllc | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2018-07-18 |
| 1174021109 | Michelle Griffo Snider | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2018-01-24 |
| 1669906889 | Visiting Counselors of New York, Lcsw, Pllc | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747 | 2017-04-13 |
| 1871966721 | Megan Patricia Rocker | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2015-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1396364287 | Keep Smiling Therapy Lcsw Pllc | Social Worker | 555 Broadhollow Rd Ste 101, Melville, NY 11747-5001 | 2020-04-11 |
| 1457996159 | Hee Nyoung Lee | Social Worker | 59 Bushwick St, Melville, NY 11747-1201 | 2019-11-18 |
| 1720620370 | Endeavor Therapeutic Services Lcsw Pllc | Social Worker | 900 Walt Whitman Rd Ste 206, Melville, NY 11747-2215 | 2019-10-15 |
| 1447819081 | Bettina Yanez Lcsw Pllc | Social Worker | 25 Meville Park Rd Suite 223, Melville, NY 11747-1174 | 2019-06-07 |
| 1023544376 | Livia Dubinsky | Social Worker | 20 Currier Ave, Melville, NY 11747-8125 | 2017-05-05 |
| 1144620089 | Ivy Firouztale | Social Worker | 535 Broadhollow Road, Suite A-14, Melville, NY 11747 | 2014-08-28 |
| 1366799702 | Veronica Silverstein | Social Worker | 70 Wilmington Dr, Melville, NY 11747-4028 | 2012-08-03 |
| 1366709412 | Edith Diaz Levine | Social Worker | 1006 Shannon Way, Melville, NY 11747-1940 | 2012-04-13 |
| 1407120850 | Keith Lyons | Social Worker | 555 Broadhollow Road, Suite 216, Melville, NY 11747 | 2012-03-02 |
| 1801194832 | Patricia Maffei Levine | Social Worker | 111 Court North Dr, Melville, NY 11747-8100 | 2011-02-28 |
| Find all providers in MELVILLE | ||||
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| 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.