Active NPI
Domenica Terinoni, LMSW
- Social Worker
- Wilmington, DE
National Provider Identifier
1730958430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- Q3-0011329
- Practice address
- 4420 Limestone Rd Ste 307
Wilmington, DE 19808-1956 - Phone
- (302) 722-9717
- Fax
- (302) 224-1402
- NPI assigned
- Dec 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Q3-0011329 | DE | Primary |
Addresses
Primary practice location
4420 Limestone Rd Ste 307
Wilmington, DE 19808-1956
Mailing address
547 Ashland Ridge Rd
Hockessin, DE 19707-9662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q3-0011329 | DE | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Behavioral Health, LLC | Current | Accepting new patients |
Locations
4420 Limestone Rd
Ste 307
Wilmington, DE 19808
Phone (253) 254-5911
Organizations & group practices 1
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.
-
dba LifeStance Health
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- Newark, DE
- NPI 1871719872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1730958430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 ASHLAND RIDGE RD",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 LIMESTONE RD STE 307",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081956",
"telephone_number": "302-722-9717",
"fax_number": "302-224-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERINONI",
"first_name": "DOMENICA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DE",
"license": "Q3-0011329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.