Terry Domino, CSW, MLA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

13761 Issued in LA

Practice address

4300 S I 10 Service Rd W Ste 215
Metairie, LA 70001-7436

Phone

(504) 301-9990

Fax

(504) 301-9990

NPI assigned

Sep 5, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lei Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Metairie, LA
  • NPI 1770911109
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1598283087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 215",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017436",
            "telephone_number": "504-301-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 215",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017436",
            "telephone_number": "504-301-9990",
            "fax_number": "504-301-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINO",
        "first_name": "TERRY",
        "credential": "CSW, MLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "13761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSW",
            "identifier": "13761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danette R Dollison-Johnson, MA, LPC, MT-BC
• Jenny Dorris Domiano, MOT, OTR/L
• Kristen Dominguez, L/COTA
• Dominick J Alongi DDS Apdllc
• Laisha R Dominick
• Paola Maria Donaire, DDS
• Donald D Yuratich DDS Apdc
• Jessica Silverman Donald, N.P.
• Lashun Donald
• Randi Elizabeth Donaldson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.