Migdalia Dominguez, LICSW
NPI 1114472008ActiveIndividual· Social Worker, Clinical· Cocoa, FL
Social Worker, Clinical (LICSW) with Grow Healthcare Group PA, practicing in Cocoa, Florida. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1114472008 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Aug 20, 2016 |
| Last updated in NPPES | Sep 1, 2023 |
| Certified by provider | Sep 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW19513 | FL |
| Social Worker | 104100000X | 24558 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AZ); Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (MN); Practitioner - Clinical Social Worker (TX) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Grow Healthcare Group PAWashington, DC · 1,085 clinicians
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