Active NPI
Dominique Marie Nicolas-England
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1245676147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 047518
- Practice address
- 11154 146TH St
Jamaica, NY 11435-5802 - Phone
- (718) 641-2694
- NPI assigned
- May 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Social Worker | 1041C0700X | 047518 | NY | Primary |
Addresses
Primary practice location
11154 146TH St
Jamaica, NY 11435-5802
Mailing address
11154 146TH St
Jamaica, NY 11435-5802
Phone (718) 641-2694
Other names 1
- Ms. Dominique Marie Nicolas
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047518 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1245676147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11154 146TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114355802",
"telephone_number": "718-641-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11154 146TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114355802",
"telephone_number": "718-641-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS-ENGLAND",
"first_name": "DOMINIQUE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "047518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIQUE",
"last_name": "NICOLAS",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "SOCIAL WORKER",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.