Individual provider Active NPI

Dominique Spigner, DSW, LCSW, NSW-C

  • Clinical Social Worker
  • Mount Pleasant, TX
National Provider Identifier
1790333904
Registry record updated Jun 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59579 Issued in TX
Practice address
106 Morgan St Ste B
Mount Pleasant, TX 75455-5600
Phone
(903) 380-1454
Fax
(877) 415-3699
NPI assigned
Aug 30, 2019
Last updated
Jun 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 59579 TX
Clinical Social Worker 1041C0700X 59579 TX Primary

Addresses

Primary practice location

106 Morgan St Ste B
Mount Pleasant, TX 75455-5600

Mailing address

PO Box 1756
Mount Pleasant, TX 75456-1756
Phone (903) 380-1454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191217002367 TX Practitioner - Clinical Social Worker 8921432303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Morgan St
Suite B
Mount Pleasant, TX 75455-5600
Phone (903) 563-5568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59579TXMDPharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1790333904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1756",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754561756",
            "telephone_number": "903-380-1454",
            "fax_number": "877-415-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MORGAN ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754555600",
            "telephone_number": "903-380-1454",
            "fax_number": "877-415-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIGNER",
        "first_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, NSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59579",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.