Individual provider Active NPI

Domenica Terinoni, LMSW

  • Social Worker
  • Wilmington, DE
National Provider Identifier
1730958430
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
Q3-0011329 Issued in DE
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

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
Q3-0011329DEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Dec 24, 2023 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.

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.

Verify at the official NPI Registry.