Diana Dominguez, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06212800 Issued in NJ

Practice address

228 Lafayette St FL 2
Newark, NJ 07105-1815

Phone

(973) 789-8111

NPI assigned

Mar 23, 2018

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1942704887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAGAZINE ST APT 201",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053428",
            "telephone_number": "732-632-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LAFAYETTE ST FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051815",
            "telephone_number": "973-789-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DIANA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06212800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Doerner, LCSW
• Vivian Doh-Altieri, LPN
• Craig William Dolan, PHARMD, RPH
• Vanessa Domingues
• Carlie Ann Dominguez, PA
• Janicel Dominguez, APRN
• Donato a Colavita, MD PA
• Srikar Donepudi
• Mark A Donetz, ATC
• Hailee Donow, PA-C

• Clinical Social Worker in Newark, NJ
• Providers in Newark, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.