TERRY DOMINO (NPI# 1598283087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598283087 |
| Entity Type | Individual |
| Full Name | TERRY DOMINO |
| Credential | CSW, MLA |
| Practice Address |
4300 S I 10 Service Rd W Ste 215 Metairie LA 70001-7436 |
| Practice Telephone | 5043019990 |
| Practice Fax Number | 5043019990 |
| Mailing Telephone | 5043019990 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 13761 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CSW | 13761 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396727988 | Terry Gayle Domino | Family Medicine | 1835 West County Road C, Roseville, MN 55113-1304 | 2005-11-18 |
| Street Address |
4300 S I 10 SERVICE RD W STE 215 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70001-7436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891161840 | April Ivy | Counselor | 4300 S I 10 Service Rd W Ste 215, Metairie, LA 70001-7436 | 2015-08-13 |
| 1285115501 | Ciara Richardson | Case Manager/Care Coordinator | 4300 S I 10 Service Rd W Ste 215, Metairie, LA 70001-7436 | 2018-08-24 |
| 1366938151 | Saudia Fatima Dolliole | Military Health Care Provider | 4300 S I 10 Service Rd W Ste 215, Metairie, LA 70001-7436 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573361 | Maria Ann Sands | Social Worker | 2301 Edenborn Avenue, Unit 1002, Metairie, LA 70001 | 2020-06-17 |
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1295384709 | Lotus Counseling Center | Counselor | 1 Galleria Blvd, Ste 1900, #1903, Metairie, LA 70001 | 2019-09-06 |
| 1255812160 | Keyota Andrea Russell | Non-emergency Medical Transport (VAN) | 2408 Houma Blvd Apt 315, Metairie, LA 70001 | 2018-08-28 |
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1700382207 | Kalah Mackenzie Arnett | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-04-03 |
| 1396240974 | Saba Farooq | Student in an Organized Health Care Education/Training Program | 4740 So. I-10 Service Rd., Suite 120, Metairie, LA 70001 | 2018-03-27 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1033633979 | Priscilla Williams | Counselor | 2325 Pasadena Ave, Apt. K, Metairie, LA 70001 | 2017-08-02 |
| Find all providers in zip 70001 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479017 | Melissa M Keller | Social Worker | 1624 Manson Ave, Metairie, LA 70001-3624 | 2020-05-19 |
| 1801436811 | Sharonda L Baham | Social Worker | 3925 N I 10 Service Rd W Ste 129, Metairie, LA 70002-6831 | 2020-01-08 |
| 1023527165 | Jessica Jones | Social Worker | 3616 South I-10 Service Road W, Metairie, LA 70001 | 2017-09-20 |
| 1093231367 | Wilneisha Charron Harrison | Social Worker | 404 S Gatehouse Dr Apt C, Metairie, LA 70001-2044 | 2017-08-18 |
| 1629501713 | Dallas Mcglinn | Social Worker | 200 N Sibley St, Metairie, LA 70003-6849 | 2017-04-06 |
| 1881149714 | Alicia Deanna Reine | Social Worker | 3100 Ridgelake Dr Ste 203, Metairie, LA 70002-4938 | 2016-08-21 |
| 1932555901 | Kathleen Michele Maston | Social Worker | 7809 Airline Dr Ste 209, Metairie, LA 70003-6440 | 2016-05-10 |
| 1144685066 | Christopher Bindewald | Social Worker | 3305 Metairie Rd Apt 3109, Metairie, LA 70001-5215 | 2015-12-18 |
| 1669870580 | Jennifer Elizabeth Hartwell | Social Worker | 3704 Cleveland Pl, Metairie, LA 70003-1530 | 2014-12-09 |
| 1962836981 | Ashley Anthony Mirambell | Social Worker | 3613 Hessmer Ave Ste 101, Metairie, LA 70002-4876 | 2013-08-27 |
| Find all providers in METAIRIE | ||||
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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.