Active NPIIndividual providerSole proprietor

Ms. Barbara Dominic, LICSW

Social Worker, Clinical in Orleans, Massachusetts

NPI Number1629183892
Practice location
165 Old Kings Highway, Orleans, MA 02653
Fax
—
Last updated
July 8, 2007

Barbara Dominic is a Social Worker, Clinical based in Orleans, MA. Barbara Dominic practices in Orleans, MA and has the professional credentials of LICSW. The NPI Number for Barbara Dominic is 1629183892 and holds a License No. 108023 (MA). The current practice location address for Barbara Dominic is 165 Old Kings Highway, Orleans, MA 02653 and can be reached out via phone at 508-247-9506.

Provider Profile Details

NPI Number
1629183892
Provider Name
Barbara Dominic
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
165 Old Kings Highway, Orleans, MA 02653
Phone Number
508-247-9506
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Old Kings Highway
Orleans, MA 02653
Zip
02653
Phone Number
508-247-9506
Orleans, MA 02653Get directions →

Provider Business Mailing Address Details

Address
250 S Eastham St
Eastham, MA 02642-2656
City
Eastham
State
MA
Zip
02642-2656
Phone Number
508-247-9506

License Information

License Number (1)
108023
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
0904002192
License State (2)
VA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

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

Other Social Worker, Clinical providers near Orleans, MA

View all Social Worker, Clinical providers in Orleans →

Frequently Asked Questions

What is the NPI number of Ms. Barbara Dominic, LICSW?

The NPI number of Ms. Barbara Dominic, LICSW is 1629183892. It was assigned on August 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Barbara Dominic, LICSW?

Ms. Barbara Dominic, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 108023.

Where does Ms. Barbara Dominic, LICSW practice?

The practice location is 165 Old Kings Highway, Orleans, MA 02653. The office can be reached at 508-247-9506 (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 1629183892 directly on the NPPES registry website.

Browse related providers