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Contact Information

REBECCA R DOMINGUEZ, LMSW
91 GUY LOMBARDO AVE
FREEPORT, NY11520-3731
 Phone: 516-868-3030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for REBECCA R DOMINGUEZ · (Female)

NPI Number 1962037341
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 03/06/2020
Last updated 08/27/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 108756-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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