Jessica Domangue, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10908 Issued in LA

Practice address

601 Goode St
Houma, LA 70360-4519

Phone

(985) 876-2697

NPI assigned

Nov 29, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in LA

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

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.

• South Central la Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houma, LA
  • NPI 1104250265
  Medicare reassignment NPD
• South Central la Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgan City, LA
  • NPI 1124452289
  NPD

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1528303633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GOODE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604519",
            "telephone_number": "985-688-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GOODE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604519",
            "telephone_number": "985-876-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANGUE",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Doan
• Jasmin Dobson
• Amy K Dodge, LMT
• Lugenya M Dokes
• Jenie Domangue, LOTR
• Victoria C Domangue, BCBA, LBA
• Zane Joseph Domangue, PLPC
• Jimmy Donald
• Bethany Guidry Donaldson, LDN RD CDE
• Donna B. Warciski,LLC

• Social Worker in Houma, LA
• Providers in Houma, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.