Uraina Domon, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018005256 Issued in MO

Practice address

1102 W Helm St
Brookfield, MO 64628-7309

Phone

(660) 359-4487

Fax

(660) 359-2958

NPI assigned

Sep 2, 2015

Last updated

Dec 18, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Central Missouri Mental Health Center

  • Community/Behavioral Health Agency
  • Trenton, MO
  • NPI 1730258930
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1255709606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646830030",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W HELM ST",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646287309",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "MO",
            "postal_code": "635561338",
            "country_code": "US",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Youssef Dr",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "MO",
            "postal_code": "646011643",
            "country_code": "US",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646831178",
            "country_code": "US",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMON",
        "first_name": "URAINA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018005256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Crist, D.O.
• Alejandro S Curiel, MD
• Jennifer Anne Dixon
• Waverly Ann Dixon, PT
• David Loris Dollins, D.O.
• Dennis Craig Engquist Sr., RPH
• Heather Jo Evans, MSN, FNP-C
• Denise Ewing
• Gary W Fite, P.T.
• Gardner Pharmacy Services Inc (Green Hills Pharmacy)

• Clinical Social Worker in Brookfield, MO
• Providers in Brookfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.