Individual provider Active NPI

Maria Eugenia Sotelo Dominguez, LCSW

  • Clinical Social Worker
  • Corvallis, OR
National Provider Identifier
1295070670
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7395 Issued in OR
Practice address
333 NW 35TH St
Corvallis, OR 97330-4908
Phone
(541) 801-4145
Fax
(541) 237-6288
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L7395 OR Primary

Addresses

Primary practice location

333 NW 35TH St
Corvallis, OR 97330-4908

Mailing address

2191 Arroyo Ridge Dr
Albany, OR 97321-1076
Phone (541) 801-4145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20171101003565 OR Practitioner - Clinical Social Worker 8527324839 Reassigns benefits to 1 organization
Practice locations: Corvallis, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LinnGroup PAC ID 7911984638, 25 clinicians

Practice addresses (Care Compare)

2730 Pacific Blvd SE
Linn County Mental Health Services
Albany, OR 97321-5075
Phone (541) 967-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Wellness Services Clinical CurrentSince May 12, 2024 Accepting new patients
County of Linn CurrentSince Aug 22, 2017 Accepting new patients
County of Linn CurrentSince Aug 22, 2017 Accepting new patients

Locations

2730 Pacific Blvd SE
Albany, OR 97321

445 3rd Ave SW
#H
Albany, OR 97321

333 NW 35th St
Corvallis, OR 97330
Phone (541) 801-4145

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1295070670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 ARROYO RIDGE DR",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211076",
            "telephone_number": "541-801-4145",
            "fax_number": "541-237-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 35TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304908",
            "telephone_number": "541-801-4145",
            "fax_number": "541-237-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO DOMINGUEZ",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.