Jessica Dawn Dominowski

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007780 Issued in IA

Practice address

421 Nebraska St
Sioux City, IA 51101-1311

Phone

(712) 224-2774

Fax

(712) 224-2775

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Dawn White Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Bellevue Hospital Medical College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Turner Therapy and CounselingGroup PAC ID 6608184072, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Turner Therapy & Counseling

  • Social Worker
  • Sioux City, IA
  • NPI 1457720195
  Medicare reassignment Care Compare group NPD
• Counseling and Support Services Inc

  • Social Worker
  • Sioux City, IA
  • NPI 1902108285
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1104208461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 CHIPPEWA CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044305",
            "telephone_number": "712-301-1889",
            "fax_number": "712-224-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011311",
            "telephone_number": "712-224-2774",
            "fax_number": "712-224-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINOWSKI",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHITE",
            "middle_name": "DAWN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Michael Diedrich, OD
• Christopher S Diehl, O.D.
• Nancy Lou Dierenfield, D.C.
• Thomas B Dodds
• Richard J Dohrmann, DDS MS
• Dona W. Prince DDS, PC
• Amber Donahue, CADC
• Patrick Donat
• Donna L. Gardner, D.D.S.,P.C.
• Douglas a. Wheelock, DDS, PC

• Social Worker in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.