Maureen Sue Dominguez, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098382 Issued in NY

Practice address

1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329

Phone

(516) 788-8901

NPI assigned

Jun 26, 2020

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nassau Psychology, P.C.Group PAC ID 1951690254, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nassau Psychology, P.C.

  • Psychologist
  • Lynbrook, NY
  • NPI 1750763538
  Medicare reassignment Care Compare group NPD
• Li Health Services LCSW PLLC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Great Neck, NY
  • NPI 1437916186
  NPD
• Psychiatric NP Services of New York PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville Centre, NY
  • NPI 1316651011
  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1225655111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 MAURICE AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541637",
            "telephone_number": "516-578-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 311",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-788-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10819 Rockaway Blvd",
            "address_purpose": "LOCATION",
            "city": "South Ozone Park",
            "state": "NY",
            "postal_code": "114201034",
            "country_code": "US",
            "telephone_number": "516-569-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MAUREEN",
        "middle_name": "SUE",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098382",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Murray Divack, MD
• Tannesha Dixon, NP
• DLK PSYD Psychologist
• Mark W Dobriner, M.D.
• Brett Marsh Dolgin, D.O.
• Rebecca Don
• Hayley Donaldson, MD
• Raeann Nicole Dong
• Donna Lederman Speech-Language Pathologist, P.C.
• Donna M. Brook, Family NP, PC

• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.