MS. NICOLE LEANN DOMINGUEZ (NPI# 1437700200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437700200 |
| Entity Type | Individual |
| Full Name | MS. NICOLE LEANN DOMINGUEZ |
| Credential | LCSW |
| Practice Address |
2425 Samaritan Dr San Jose CA 95124-3908 |
| Practice Telephone | 4088243922 |
| Mailing Telephone | 4088243922 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
91221 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341760 | Nicole Elizabeth Dominguez | Physical Therapist | 6300 Kingery Hwy Ste 100, Willowbrook, IL 60527-2250 | 2020-03-13 |
| 1811422058 | Nicole Dominguez | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2017-04-25 |
| 1871025833 | Nicole Dominguez | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2017-03-29 |
| 1164791232 | Nicole Brenes Dominguez | Pharmacist | 1847 Rockaway Pkwy, Brooklyn, NY 11236-5307 | 2011-12-20 |
| Street Address |
2425 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319347 | Brita Hellman | Physical Therapist | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2006-03-08 |
| 1194326835 | Elika F Leitch | Respiratory Therapist, Registered | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2020-11-07 |
| 1346847548 | Ravi K Aggusher Md Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2020-10-01 |
| 1003396474 | Harramanjoyt Hans-brar | Dietitian, Registered | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-08-15 |
| 1760972491 | Jillian Alexandra Wesselman | Registered Nurse | 2425 Samaritan Dr, San Jose, CA 95124 | 2018-05-17 |
| 1720580160 | Dana Janine Schroeder | Nurse Practitioner | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-03-01 |
| 1689192833 | Cep America - Anesthesia PC | Anesthesiology | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-09-07 |
| 1336678143 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-06-06 |
| 1306398482 | Rekha Dharmaji Md Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-10-25 |
| 1477906758 | Galen Inpatient Physicians Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633708 | Efrat Shemesh Katan | Social Worker | 1025 Wunderlich Dr, San Jose, CA 95129-3159 | 2020-06-09 |
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1083236905 | Carey Gil | Social Worker | 1885 The Alameda Ste 120, San Jose, CA 95126-1732 | 2020-05-13 |
| 1912555996 | Marie Danh | Social Worker | 701 Miller St, San Jose, CA 95110-2121 | 2019-09-03 |
| 1194203497 | Janet Caudillo | Social Worker | 373 W Julian St, San Jose, CA 95110-2319 | 2018-07-30 |
| 1699267971 | Wendy Shapiro | Social Worker | 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 | 2018-06-03 |
| 1871099523 | Elisse Reyna | Social Worker | 2670 S White Rd Ste 170, San Jose, CA 95148-2071 | 2018-04-02 |
| 1487166062 | Giorgio Andrea Quittan I | Social Worker | 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 | 2017-11-03 |
| 1942712211 | Zenon Post | Social Worker | 31 N 2nd St # 265, San Jose, CA 95113-1231 | 2017-10-26 |
| 1578010526 | Gayle Peitso | Social Worker | 15780 Highland Dr, San Jose, CA 95127-1741 | 2016-09-07 |
| Find all providers in SAN JOSE | ||||
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| 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.