Dominique Kalata, LCSW; LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096741 Issued in NY

Practice address

140 2ND Ave
New York, NY 10003-8364

Phone

(917) 660-8047

NPI assigned

Jul 20, 2016

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1659724011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038364",
            "telephone_number": "917-660-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATA",
        "first_name": "DOMINIQUE",
        "credential": "LCSW; LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127971",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130938",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED OFFICE OF THE PROFESSIONS",
            "identifier": "096741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATION OF SOCIAL WORK BOARDS FOR THE MASSACHUSETTS BOARD",
            "identifier": "127971",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "130938",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Larae Kalanick, ND, LAC
• Hossein Taherpour Kalantari, M.D.
• Dina Kalantarova, R.PH.
• Ilana Kalanthroff
• Inara Kalashnikova
• Dominic Don Kalathivila
• William Kalatsky, D.C
• Samika Kalavadia
• Jensy Clara Kalavelil
• Ipapandi Kalavrezos, PHARMD

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.