DR. PETER DEDOMINICI LSW NPI 1649923442

NPI Information

  • NPI: 1649923442
  • Provider Name: DR. PETER DEDOMINICI, LSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 188 W HEBBLE AVE
    FAIRBORN, OH
    ZIP 45324
  • Phone: (937) 754-5911

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NPI Details

DR. Peter Dedominici, LSW is a mental health counselor in Fairborn, OH. DR. Peter Dedominici, LSW NPI is 1649923442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

188 W HEBBLE AVE
FAIRBORN, OH
ZIP 45324-960
Phone: (937) 754-5911
Fax: (999) 999-9999

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/22/2023.

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 Number License State Primary
1104100000XSocial WorkerS0029122OHIONo
2101YM0800XCounselorMental HealthYes

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: 11/21/2025

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