Individual provider Active NPI

Tomi Thompson Dominguez, LCSW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1043372873
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
TXSW11082 Issued in TX
Practice address
9600 Veteran'S Drive SW BLDG 61 Room 136
Puget Sound VA- American Lake Division
Tacoma, WA 98493
Phone
(253) 583-2741
Fax
(253) 589-4183
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X TXSW11082 TX Primary

Addresses

Primary practice location

9600 Veteran'S Drive SW BLDG 61 Room 136
Puget Sound VA- American Lake Division
Tacoma, WA 98493

Mailing address

9600 Veteran'S Drive SW BLDG 61 Room 136
Puget Sound VA- American Lake Division
Tacoma, WA 98493
Phone (253) 583-2741

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TXSW11082TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1043372873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 VETERAN'S DRIVE SW BLDG 61 ROOM 136",
            "address_2": "PUGET SOUND VA- AMERICAN LAKE DIVISION",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-583-2741",
            "fax_number": "253-589-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 VETERAN'S DRIVE SW BLDG 61 ROOM 136",
            "address_2": "PUGET SOUND VA- AMERICAN LAKE DIVISION",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-583-2741",
            "fax_number": "253-589-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "TOMI",
        "middle_name": "THOMPSON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "TXSW11082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.