Active NPI
Dominique Darnise Lawson, PSYD
- Clinical Psychologist
- Waldorf, MD
National Provider Identifier
1043942931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06792
- Practice address
- 603 Post Office Rd Ste 210
Waldorf, MD 20602-1914 - Phone
- (301) 705-7593
- NPI assigned
- Jun 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 06792 | MD | Primary |
Addresses
Primary practice location
603 Post Office Rd Ste 210
Waldorf, MD 20602-1914
Mailing address
43681 Sweetbay St
California, MD 20619-7158
Other practice location 1
43681 Sweetbay St
California, MD 20619-7158
Phone (240) 670-4148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06792 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1043942931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43681 SWEETBAY ST",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206197158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 POST OFFICE RD STE 210",
"city": "WALDORF",
"state": "MD",
"postal_code": "206021914",
"telephone_number": "301-705-7593"
}
],
"practiceLocations": [
{
"address_1": "43681 Sweetbay St",
"address_purpose": "LOCATION",
"city": "California",
"state": "MD",
"postal_code": "206197158",
"country_code": "US",
"telephone_number": "240-670-4148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWSON",
"first_name": "DOMINIQUE",
"middle_name": "DARNISE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.