Anna Dominov

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022470 Issued in IL

Practice address

1820 Dodge Ave
Evanston, IL 60201-3430

Phone

(773) 988-4717

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1841104528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013430",
            "telephone_number": "773-988-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013430",
            "telephone_number": "773-988-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINOV",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Dawn Dolins, LMFT
• Michael Dombrowski
• Brittany Domin, OTR/L
• John Dominguez, PH.D.
• Rita Quinn Dominguez, LCSW
• Morgan Donahue
• Carolyn K Donaldson, MD
• Siobhan M. Donati, LPC
• Jimmy Robert Dong, DDS
• Tianyu Dong

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.