Active NPI
Jennifer C. Dombroski, LCSW
- Clinical Social Worker
- Dover, DE
National Provider Identifier
1275790388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0000908
- Practice address
- 1151 Walker Rd
Dover, DE 19904-6600 - Phone
- (302) 674-2380
- Fax
- (302) 674-1299
- NPI assigned
- May 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 | Q1-0000908 | DE | Primary |
Addresses
Primary practice location
1151 Walker Rd
Dover, DE 19904-6600
Mailing address
1151 Walker Rd
Dover, DE 19904-6600
Phone (302) 674-2380
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0000908 | DE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1275790388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 WALKER RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199046600",
"telephone_number": "302-674-2380",
"fax_number": "302-674-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 WALKER RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199046600",
"telephone_number": "302-674-2380",
"fax_number": "302-674-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROSKI",
"first_name": "JENNIFER",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-18",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0000908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.