DOMINIQUE ELLIS (NPI# 1629518212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518212 |
| Entity Type | Individual |
| Full Name | DOMINIQUE ELLIS |
| Practice Address |
50 Redfield St Suite 300 Dorchester MA 02122-3630 |
| Practice Telephone | 6174559102 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
50 REDFIELD ST SUITE 300 |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548439797 | Rebecca Gallo | Social Worker | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2008-02-21 |
| 1952908402 | Rodney Harris | Marriage & Family Therapist | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-10-07 |
| 1790392272 | Thylia K Duporte | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-09-28 |
| 1417575390 | Melissa Anne Bloom | Student in an Organized Health Care Education/Training Program | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-07-08 |
| 1699392456 | Hannah Burford | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-06-28 |
| 1114552031 | Danielle Ferriola | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-03-11 |
| 1013550755 | Hannah Enoy | Case Manager/Care Coordinator | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-10-25 |
| 1982255535 | Jeffrey Osborne | Counselor | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-09-25 |
| 1407329022 | Kyle Richardson | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-01-07 |
| 1811460728 | James Alexander Baez | Counselor | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| 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 |
|---|---|---|---|---|
| 1902421340 | Hannah Lozano | Social Worker | 13 Grant St, Dorchester, MA 02125-1234 | 2020-06-11 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1932758174 | Stacy Marcotte | Social Worker | 3 Annapolis St Apt 3, Dorchester, MA 02125-4374 | 2019-09-10 |
| 1528542206 | Nicole Sandonato | Social Worker | Codman Square Health Center, 637 Washington Street, Dorchester, MA 02124-3510 | 2018-09-19 |
| 1124509377 | Alisha Marie Patrick | Social Worker | 50 Redfield St Ste 301, Dorchester, MA 02122-3651 | 2018-08-26 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1659756856 | Lia Dege | Social Worker | 415 Neponest Ave, 3rd Floor, Dorchester, MA 02122 | 2015-07-29 |
| 1861776650 | Derrick Winston | Social Worker | 11 Dewolf St, Dorchester, MA 02125-2140 | 2011-09-28 |
| 1013209436 | Nia Imani | Social Worker | 434 Warren St, Dorchester, MA 02121-1325 | 2011-05-03 |
| 1851692370 | Lakisha R Austin | Social Worker | 12 Southern Ave, Dorchester, MA 02124 | 2010-11-15 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on DOMINIQUE ELLIS.
| 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.