Individual provider Active NPI

Elena Dominguez-Brick

  • Social Worker
  • Fredericksburg, VA
National Provider Identifier
1881590263
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0906016027 Issued in VA
Practice address
420 Hudgins Rd Ste 201
Fredericksburg, VA 22408-4172
Phone
(540) 907-0121
Fax
(866) 832-7890
NPI assigned
Oct 14, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 0906016027 VA Primary

Addresses

Primary practice location

420 Hudgins Rd Ste 201
Fredericksburg, VA 22408-4172

Mailing address

420 Hudgins Rd Ste 201
Fredericksburg, VA 22408-4172
Phone (540) 907-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1881590263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HUDGINS RD STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084172",
            "telephone_number": "540-907-0121",
            "fax_number": "866-832-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HUDGINS RD STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084172",
            "telephone_number": "540-907-0121",
            "fax_number": "866-832-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ-BRICK",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906016027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.