Active NPI
Raquel Dominguez, MSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1003458183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5373 N Union Blvd Ste 103
Colorado Springs, CO 80918-2073 - Phone
- (719) 644-6131
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NLC0110365 | ||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
5373 N Union Blvd Ste 103
Colorado Springs, CO 80918-2073
Mailing address
5373 N Union Blvd Ste 203
Colorado Springs, CO 80918-2073
Phone (710) 644-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1003458183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5373 N UNION BLVD STE 203",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182073",
"telephone_number": "710-644-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 N UNION BLVD STE 103",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182073",
"telephone_number": "719-644-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "RAQUEL",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "NLC0110365",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.