Marcelle Dominguez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25110 Issued in CA

Practice address

576 B St
Suite 1-B
Santa Rosa, CA 95401-5273

Phone

(707) 339-0398

NPI assigned

Feb 4, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1023257656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 FERGUSON RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729637",
            "telephone_number": "707-339-0398",
            "fax_number": "707-829-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 B ST",
            "address_2": "SUITE 1-B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015273",
            "telephone_number": "707-339-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MARCELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Dolan, DC
• Richard Doleman
• Janis Lee Dolnick, PHD
• Evelin Dominguez Garcia
• Ciclady Dominguez
• Amani Dominiko
• Pamela S Domino, RN
• Maureen Donaghue
• Joan Ann Donelan, PH.D.
• Quanli Dong

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.