Eugene Domenico, PHD LCSW
NPI 1679608103ActiveIndividual· Counselor, Mental Health· Lockport, NY
Counselor, Mental Health (PHD LCSW) in Lockport, New York, licensed in NY, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1679608103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD LCSW |
| Sole proprietor | No |
| NPI issued | Feb 23, 2007 |
| Last updated in NPPES | Dec 16, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 034738-1 | NY |
| Social Worker, Clinical | 1041C0700X | 034738-1 | NY |
| Psychologist | 103T00000X | 034738-1 | NY |
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 (NY) |
|---|
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 31 mental health counselors in Lockport · All mental health counselors in New York