Jessica Catherine Dominguez, LCSW
NPI 1407176209ActiveIndividual· Social Worker, Clinical· Smithtown, NY
Social Worker, Clinical (LCSW) with Welllife Network Inc, practicing in Smithtown, New York. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1407176209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jun 3, 2010 |
| Last updated in NPPES | Aug 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 082105 | NY |
| Social Worker | 104100000X | 080537-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Welllife Network IncWyandanch, NY · 17 clinicians
Other Social Worker, Clinical providers in Smithtown
- 1558222448
- 1376218081
- 1609812130
- 1366793796
- 1043170301
- 1982976098
- 1407582208
- 1992217871
- 1932516911
- 1609438258
- 1558193136
- 1487694907