JESSICA DAWN DOMINOWSKI
NPI 1104208461
Social Worker in Sioux City, IA

Q: What is Jessica Dominowski's NPI number?

The NPI number for Jessica Dominowski is 1104208461. It was assigned to this individual provider in the NPPES registry on June 23, 2015. The provider is also known as Jessica Dawn White Lmsw.

Q: What is Jessica Dominowski's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment

421 NEBRASKA ST, SIOUX CITY, IA 51101(712) 224-2774(712) 224-2775 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Dawn Dominowski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DAWN DOMINOWSKI (NPI 1104208461) is an individual social worker in Sioux City, Iowa, licensed in Iowa (007780) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Bellevue Hospital Medical College (2000).

NPPES Registry Identity

NPI1104208461

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJESSICA DAWN DOMINOWSKI

Location Address421 NEBRASKA STSioux City, IA 51101-1311

Mailing Address3833 Chippewa CtSioux City, IA 51104-4305 · (712) 301-1889 · Fax (712) 224-2775

Phone(712) 224-2774

Fax(712) 224-2775

Sole ProprietorNo

Medical School CMSBellevue Hospital Medical CollegeGraduated 2000

Enumeration DateJune 23, 2015

✔ NPI 1104208461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IA · 007780

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

421 NEBRASKA ST, Sioux City, IA 51101

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Other Names 1

Former Name (1)Jessica Dawn White Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Dawn Dominowski is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133577596

PECOS Enrollment IDI20231122002424

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JADE MEIER

Social Worker