STEPHEN WARD DOMINICK (NPI# 1962604215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962604215 |
| Entity Type | Individual |
| Full Name | STEPHEN WARD DOMINICK |
| Other Name | STEVE DOMINICK |
| Credential | MSW, LCSW |
| Practice Address |
1735 Sheridan Ave Suite 230 Cody WY 82414-3855 |
| Practice Telephone | 3075878439 |
| Practice Fax Number | 3075878439 |
| Mailing Telephone | 3075878439 |
| Mailing Fax Number | 3075878439 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-187 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | LIC. CLINICAL SOCIAL WORK | LCSW-187 | 01 |
| Street Address |
1735 SHERIDAN AVE SUITE 230 |
| City | CODY |
| State | WY |
| Zip Code | 82414-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073986972 | Karry Nelly Rayment | Case Management | 1735 Sheridan Ave, 236, Cody, WY 82414-3855 | 2015-11-02 |
| 1730562448 | Veritatis Splendor Counseling Inc | Counselor | 1735 Sheridan Ave, Suite 237, Cody, WY 82414-3855 | 2015-06-30 |
| 1316339716 | Amanda Grey Ferguson | Day Training, Developmentally Disabled Services | 1735 Sheridan Ave, Suite # 236, Cody, WY 82414-3855 | 2015-02-23 |
| 1487065306 | Cindy Bennett | Day Training, Developmentally Disabled Services | 1735 Sheridan Ave, #236, Cody, WY 82414-3855 | 2014-05-13 |
| 1841637923 | Jonathan Blake Vardell | Counselor | 1735 Sheridan Ave, Suite 238, Cody, WY 82414-3855 | 2013-05-29 |
| 1225307044 | Erin Haviland | Counselor | 1735 Sheridan Ave, Cody, WY 82414-3855 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| 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 |
|---|---|---|---|---|
| 1982244851 | Edwin James Heimer | Social Worker | 11 Bartlett Ln, Cody, WY 82414-8861 | 2020-01-08 |
| 1750735429 | Kyla Harper | Social Worker | 3407 Frisby Ave, Cody, WY 82414-8480 | 2016-04-19 |
| 1275997470 | Neisha Potter | Social Worker | 1302 Beck Ave Ste D, Cody, WY 82414-3758 | 2016-04-13 |
| 1689823296 | Shawna Chandler | Social Worker | 1517 Rumsey Ave, Cody, WY 82414-3813 | 2008-09-18 |
| 1225205867 | Kristin Alcala | Social Worker | 424 Yellowstone Ave Ste 220, Cody, WY 82414-9310 | 2008-05-13 |
| 1659585305 | Diana Lynn Nye | Social Worker | 4733 Powell Hwy, Cody, WY 82414-8309 | 2007-05-10 |
| 1235252628 | Dean Furukawa | Social Worker | 1211 Rumsey Ave, Cody, WY 82414-3607 | 2007-04-09 |
| 1528688207 | Christa Jeane Buhler | Social Worker | 707 Sheridan Ave, Cody, WY 82414-3409 | 2020-04-22 |
| 1730709437 | Amber Shier | Social Worker | 707 Sheridan Ave, Cody, WY 82414-3409 | 2020-04-22 |
| 1972165009 | Lindsey Jo Loughran | Social Worker | 2538 Big Horn Ave, Cody, WY 82414-9299 | 2019-06-28 |
| Find all providers in CODY | ||||
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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.