Ms. Susan A Domine, LCSW
Social Worker, Clinical in Pepperell, Massachusetts
1639231608- Practice location
- 25 West St, Pepperell, MA 01463-1271
- Phone
- 352-470-4833
- Fax
- —
- Last updated
- September 24, 2025
Susan Arleen Domine is a Social Worker, Clinical based in Pepperell, MA. Susan Arleen Domine practices in Pepperell, MA and has the professional credentials of LCSW. The NPI Number for Susan Arleen Domine is 1639231608 and holds a License No. CSW003507 (GA). The current practice location address for Susan Arleen Domine is 25 West St, Pepperell, MA 01463-1271 and can be reached out via phone at 352-470-4833.
Provider Profile Details
- NPI Number
- 1639231608
- Provider Name
- Susan Arleen Domine
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 West St, Pepperell, MA 01463-1271
- Phone Number
- 352-470-4833
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 15, 2006
- Last Update Date
- September 24, 2025
- Certification Date
- September 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 West St
Pepperell, MA 01463-1271 - City
- Pepperell
- State
- Massachusetts
- Zip
- 01463-1271
- Phone Number
- 352-470-4833
Provider Business Mailing Address Details
- Address
- 25 West St
Pepperell, MA 01463-1271 - City
- Pepperell
- State
- MA
- Zip
- 01463-1271
- Phone Number
- 352-470-4833
License Information
- License Number
- CSW003507
- License State
- GA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Susan A Domine, LCSW?
The NPI number of Ms. Susan A Domine, LCSW is 1639231608. It was assigned on December 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan A Domine, LCSW?
Ms. Susan A Domine, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in GA under license number CSW003507.
Where does Ms. Susan A Domine, LCSW practice?
The practice location is 25 West St, Pepperell, MA 01463-1271. The office can be reached at 352-470-4833 (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 1639231608 directly on the NPPES registry website.