NPIMap

Organization Active NPI

Martha Dominguez, LCSW, LMFT, PLLC

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1245968106
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARTHA DOMINGUEZ, LCSW, LMFT, PLLC
Practice address
5959 Gateway Blvd W Ste 570
El Paso, TX 79925-3395
Phone
(915) 772-1829
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Martha Dominguez, LCSW, LMFTNPI 1205943537
Title
Provider
Phone
(915) 772-1829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5959 Gateway Blvd W Ste 570
El Paso, TX 79925-3395

Mailing address

5959 Gateway Blvd W Ste 570
El Paso, TX 79925-3395
Phone (915) 772-1829

Other identifiers 1

IdentifierTypeStateIssuer
1205943537OtherTXNPI

Other names 1

  • Martha L Dominguez, LCSW, LMFT. PLLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1245968106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 570",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253395",
            "telephone_number": "915-772-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 570",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253395",
            "telephone_number": "915-772-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA DOMINGUEZ, LCSW, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "915-772-1829",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205943537",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha L Dominguez, LCSW, LMFT. PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.