Dominique Dubois

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.099933276 Issued in CO

Practice address

752 17TH Ave
Longmont, CO 80501-2699

Phone

(720) 336-8179

NPI assigned

Sep 4, 2023

Last updated

Jul 28, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1780460014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONARCH DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048705",
            "telephone_number": "720-336-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 17TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012699",
            "telephone_number": "720-336-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.099933276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Driscoll, JEAN DRISCOLL,LCSW
• Sandrine Druon, IBCLC
• Kimberly Lynn Drybread, MA CCC SLP
• Brian Edward Du Fresne, LMT
• Sarah Jean Dubbe, CMT
• Katherine Dueber, M.D.
• Adam Dueker
• Alexandria Dufour, PHYSICAL THERAPIST
• Andrea Dugan, LPC
• Kathryn Dumm

• Clinical Social Worker in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.