Dominic M Branch, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.110200 Issued in IL

Practice address

2930 W Grand Ave
Chicago, IL 60622-4308

Phone

(872) 817-9858

NPI assigned

May 4, 2026

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PWP Health, LLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1235704735
  NPD (past)

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1861329047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224308",
            "telephone_number": "708-603-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224308",
            "telephone_number": "872-817-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "DOMINIC",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.110200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Bramwell, PHARMD
• Lauren Anne Brancato, LCPC
• Branch Counseling and Wellness PC
• Christine Branch, OTR/L
• Dana Branch
• Dominique N Branch
• Emerson Branch III
• Monica Sheron Branch, MD
• Quishe Branch, BSN, RN
• Riva N Branch, M.D.

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.