JUDITH DOMINGUEZ ACSW NPI 1295207546

NPI Information

NPI: 1295207546
Provider Name: JUDITH DOMINGUEZ, ACSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
333 S BEAUDRY AVE
LOS ANGELES, CA
ZIP 90017
Phone: (213) 241-3841
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Judith Dominguez, ACSW is a mental health counselor in Los Angeles, CA. Judith Dominguez, ACSW NPI is 1295207546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 S BEAUDRY AVE
LOS ANGELES, CA
ZIP 90017-466
Phone: (213) 241-3841
Fax: (213) 241-3305

The enumeration date for this NPI number is 12/27/2018 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	1041C0700X	Social Worker	Clinical		No
2	171M00000X	Case Manager/Care Coordinator			No
3	390200000X	Student in an Organized Health Care Education/Training Program			No
4	101YM0800X	Counselor	Mental Health	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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