Active NPIIndividual providerSole proprietor

Ms. Jill S Domanski, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1568604213
Practice location
491 Bloomfield Ave Ste 403, Montclair, NJ 07042
Fax
—
Last updated
July 24, 2018

Jill S. Domanski is a Social Worker, Clinical based in Montclair, NJ. Jill S. Domanski practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Jill S. Domanski is 1568604213 and holds a License No. 077996-1 (NY). The current practice location address for Jill S. Domanski is 491 Bloomfield Ave Ste 403, Montclair, NJ 07042 and can be reached out via phone at 908-379-9358.

Provider Profile Details

NPI Number
1568604213
Provider Name
Jill S. Domanski
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
491 Bloomfield Ave Ste 403, Montclair, NJ 07042
Phone Number
908-379-9358
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2009
Last Update Date
July 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
491 Bloomfield Ave Ste 403
Montclair, NJ 07042
Zip
07042
Phone Number
908-379-9358
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
491 Bloomfield Ave Ste 403
Montclair, NJ 07042-3406
City
Montclair
State
NJ
Zip
07042-3406
Phone Number
908-379-9358

License Information

License Number (1)
077996-1
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05450800
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jill S Domanski, LCSW?

The NPI number of Ms. Jill S Domanski, LCSW is 1568604213. It was assigned on March 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Jill S Domanski, LCSW?

Ms. Jill S Domanski, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 077996-1.

Where does Ms. Jill S Domanski, LCSW practice?

The practice location is 491 Bloomfield Ave Ste 403, Montclair, NJ 07042. The office can be reached at 908-379-9358 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568604213 directly on the NPPES registry website.

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