Richard Girard-Domena, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078941 Issued in NY

Practice address

250 East Fifth Street
15TH Floor PMB #744
Cincinnati, OH 45202

Phone

(513) 952-9595

Fax

(631) 337-7846

NPI assigned

Jun 15, 2010

Last updated

Apr 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, OH2 enrollments

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 2

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Enlightenment Behavioral Services Inc

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1942061403

  NY

  Medicare reassignment NPD Authorized official
• Eastern Suffolk Counseling LCSW PLLC

  • Community/Behavioral Health Agency
  • Saint James, NY
  • NPI 1639529266

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1326369257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010610177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST FIFTH STREET",
            "address_2": "15TH FLOOR PMB #744",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45202",
            "telephone_number": "513-952-9595",
            "fax_number": "631-337-7846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 N COUNTRY RD",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801445",
            "country_code": "US",
            "telephone_number": "631-504-2102",
            "fax_number": "631-686-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARD-DOMENA",
        "first_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102567-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115618",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kay Giovanetti, LPCC
• Michael L. Giovanetti, O.D.
• Nicholas Anthony Giovanetti, O.D.
• Carlos Gipson
• Tasha L Gipson, RN, BSN, CPN
• Deborah M Girard, M.D.
• Javier Girardot, DMD
• Bradley Girdwood
• Andrea Kelley Girnius, M.D.
• Jennifer Giroux

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.