Laura Yvonne Domash, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24491 Issued in CA

Practice address

2000 Van Ness Ave
#216
San Francisco, CA 94109-3023

Phone

(408) 390-3116

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1891948162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 FRANCISCO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232303",
            "telephone_number": "408-390-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "#216",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "408-390-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMASH",
        "first_name": "LAURA",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenzing Dolma
• Ellen Dolson, MD
• Christopher Domanski
• Chanda Domantay
• Melanie Domantay, RN
• Angela Yvette Dombrowski
• Vircelito A. Domenden I
• Alexis Domeracki, MD
• Sandra Jo Domeracki, NP
• Girly Aguinaldo Domingo, RN

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.