MRS. ELIZABETH ANNE DOMINGUEZ


Address: 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360
Phone: 8608594674

MRS. ELIZABETH ANNE DOMINGUEZ (NPI# 1184784886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184784886
Entity Type Individual
Full Name MRS. ELIZABETH ANNE DOMINGUEZ
Credential LCSW
Practice Address 401 West Thames Street
Southeastern Mental Health Authority Bldg 301
Norwich
CT 06360
Practice Telephone 8608594674
Practice Fax Number 8608594790
Mailing Telephone 8608594674
Mailing Fax Number 8608594790
Enumeration Date 2006-12-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
005777 CT Behavioral Health & Social Service Providers

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1609851955 Elizabeth Maria Dominguez Nurse Anesthetist, Certified Registered 230 West 32 St., Hialeah, FL 33012 2005-12-09
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1346607173 Elizabeth Dominguez Specialist/Technologist 12411 Slauson Ave Ste H, Whittier, CA 90606-2835 2016-01-25
1801149471 Elizabeth Anne Dominguez Psychologist 2073 Olympic St, Springfield, OR 97477-3413 2012-10-19
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Office Location

Street Address 401 WEST THAMES STREET
SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
City NORWICH
State CT
Zip Code 06360

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912950213 Eric Brysgel Social Worker 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 2006-05-18
1295149649 Harvey William Gemme IIi Social Worker 401 West Thames Street, Bldg 301, Norwich, CT 06360 2014-06-13
1497176614 Gina Marie Velez Social Worker 401 West Thames Street, Bldg 301, Norwich, CT 06360 2013-12-16
1215166004 Rhonda J Labua Social Worker 401 West Thames Street, Bld - 301, Norwich, CT 06360 2009-07-14
1942476817 John R Ward Social Worker 401 West Thames Street, Bldg 301 Southeastern Mental Health Authority, Norwich, CT 06360 2008-05-01
1346446036 Mary A Turnquist Counselor 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 2007-06-21
1245383439 Janet Chapman Roselle Social Worker 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 2007-01-19
1700939998 Cheryl L Jacques Nurse Practitioner 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 2007-01-19
1437201159 Robert A Zepf Psychiatry & Neurology 401 West Thames Street, Bldg 301, Norwich, CT 06360 2007-01-16
1104974591 Linda Catherine Partridge Social Worker 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 2007-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003417452 Mafe Duyan Rato Nurse Practitioner 624 W West Main St, St 140, Norwich, CT 06360 2020-11-03
1255961561 Holly M. Renstrom Driver 17 Annadell Rd, Norwich, CT 06360 2020-01-26
1609335397 Chanel Justice Social Worker 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 2019-03-13
1457700189 Michelle Pressler Pharmacist 634 West Main St, Norwich, CT 06360 2016-06-03
1265895726 Katie Johnson Social Worker 18 Oneco Street, Norwich, CT 06360 2016-04-01
1871956623 Lori Deslandes-paz Pharmacist 372 West Main Street, Norwich, CT 06360 2016-03-30
1336526193 Keep An Open Mind, LLC Marriage & Family Therapist 12 Cass Street, Suite 202, Norwich, DC 06360 2015-04-30
1588084446 Kinneri Kothari Ophthalmology 79 Wawecus St Ste 105, Norwich, CT 06360 2014-04-18
1962746537 Robin B Smith Social Worker 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-20
1063766400 Colleen Ellen Phillips-white Social Worker 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 2012-11-07
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457973810 Melissa Agnelli Rondeau Social Worker 77 Gifford St, Norwich, CT 06360-4041 2020-05-08
1396366464 Heather Ann Brisson Social Worker 65 Otrobando Ave, Norwich, CT 06360-2218 2020-04-30
1275092777 Empower Counseling and Therapy, Pllc Social Worker 12 Case St Ste 201, Norwich, CT 06360-2222 2019-03-14
1609335397 Chanel Justice Social Worker 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 2019-03-13
1972079648 Dillon James O'keefe Social Worker 331 E Main Street, Norwich, CT 06360-5836 2018-10-19
1104312057 Synergy Psychotherapeutics Plc Social Worker 221 Us Route 5 S, Norwich, VT 05055-9523 2018-07-03
1518479864 Amy Jean Gallagher Social Worker 11a Stott Ave, Norwich, CT 06360-1507 2017-10-26
1952831067 Paul Foster Social Worker 108 Academy Rd, Norwich, VT 05055-9481 2017-06-13
1861926347 Deberey Hinchey Social Worker 46 Cherry Hill Rd, Norwich, CT 06360-5227 2017-04-12
1376098004 Latitude Behavioral Health Social Worker 49 Woods Dr, Norwich, CT 06360-1560 2016-08-23
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Competitor

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City NORWICH
Zip Code 06360

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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