Jessica Elizabeth Domingo
NPI 1699476713ActiveIndividual· Social Worker, Clinical· Longwood, FL
Social Worker, Clinical with Sondermind Provider Network LLC, practicing in Longwood, Florida. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1699476713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 15, 2023 |
| Last updated in NPPES | Jun 26, 2024 |
| Certified by provider | Jun 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW17888 | FL |
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 (DC); Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (MA); Practitioner - Clinical Social Worker (TX); Practitioner - Clinical Social Worker (VA); Practitioner - Clinical Social Worker (VT) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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All 39 clinical social workers in Longwood · All clinical social workers in Florida