Individual provider Active NPI

Dominique Valenzuela Hypolite, LCSW

  • Clinical Social Worker
  • North Highlands, CA
National Provider Identifier
1679294524
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126189 Issued in CA
Practice address
4815 Watt Ave
North Highlands, CA 95660-5108
Phone
(916) 454-2345
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 126189 CA Primary

Addresses

Primary practice location

4815 Watt Ave
North Highlands, CA 95660-5108

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 454-2345

Other names 1

  • Dominique Jennifer Valenzuela Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20241216002308 CA Practitioner - Clinical Social Worker 9234665100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126189CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Dec 10, 2024 Accepting new patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Dec 10, 2024 Accepting new patients

Locations

4815 Watt Ave
North Highlands, CA 95660

3234 Marysville Blvd
Sacramento, CA 95815
Phone (916) 646-1200

3701 J St
Ste 201
Sacramento, CA 95816

1860 Howe Ave
Ste 440
Sacramento, CA 95825

1750 Wright St
Ste 1
Sacramento, CA 95825

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

1276 Halyard Dr
West Sacramento, CA 95691

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679294524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-454-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 WATT AVE",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605108",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYPOLITE",
        "first_name": "DOMINIQUE",
        "middle_name": "VALENZUELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "VALENZUELA",
            "middle_name": "JENNIFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Highlands, CA

Sources for this page

Verify at the official NPI Registry.