person
Ms. Susan Arleen Domine, LCSW
Military Health Care Provider in Apo, N/A
NPI 1639231608

Susan Arleen Domine is a Military Health Care Provider based in Apo, . Susan Arleen Domine practices in Apo, and has the professional credentials of LCSW. The NPI Number for Susan Arleen Domine is 1639231608 and holds a License No. CSW003507 (N/A).

The current practice location address for Susan Arleen Domine is Unit 33100, Apo, and can be reached out via phone at 314-590-1177.

Location: Unit 33100, Apo, , 09180
person
Provider Profile Details
NPI Number
1639231608
Provider Name
Susan Arleen Domine
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
Unit 33100, Apo, , 09180
Phone Number
314-590-1177
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Unit 33100
City
Apo
State
Zip
09180-3100
Phone Number
314-590-1177
Fax Number
person
Provider Business Mailing Address Details
Address
Unit 33100
City
Apo
State
Zip
09180-3100
Phone Number
314-590-1177
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
CSW003507 (Georgia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
CSW003507 (Georgia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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