Jaclyn Kristine Domanico, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014176 Issued in NC

Practice address

125 Hendersonville Rd
Asheville, NC 28803-2868

Phone

(828) 398-3601

Fax

(828) 333-5465

NPI assigned

May 24, 2019

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

Other names 1

• Jaclyn Kristine Herring Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

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 and National Provider Directory roles.

• Mountain Area Health Education Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1952356388

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Mountain Area Health Education Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1295390409

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1346807302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANICO",
        "first_name": "JACLYN",
        "middle_name": "KRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "HERRING",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Marie Dolack, DO
• Karen Louise Dolan, CRNA
• Jessica Dolinger
• Craig L Dollar
• Amber Joy Dollyhigh, MA, CCC-SLP
• Darren Domas, MSW, LCSW
• William R Domby, M.D.
• Kalie Kristin Dominick
• Dominion Falls
• Dominion Falls Family Care Home N

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.