MRS. CARLA R. GUTIERREZ DOMINGUEZ LCSW
NPI 1104289867
Social Worker - Clinical in Waukegan, IL

Active since March 31, 2016
671 S LEWIS AVE, WAUKEGAN, IL 60085(847) 782-4156(847) 782-1030 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2017, Mar 31, 2016 (2 updates tracked since 2016).

About Mrs. Carla R. Gutierrez Dominguez Lcsw NPPES

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

MRS. CARLA R. GUTIERREZ DOMINGUEZ LCSW (NPI 1104289867) is an individual clinical provider in Waukegan, Illinois, licensed in Illinois (149.018983) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1104289867
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CARLA R. GUTIERREZ DOMINGUEZCredential: LCSW
Location Address671 S LEWIS AVEWaukegan, IL 60085-6101
Mailing Address671 S Lewis AveWaukegan, IL 60085-6101
Fax(847) 782-1030
Sole ProprietorYes
Enumeration DateMarch 31, 2016
Last NPPES UpdateJanuary 3, 20172 updates tracked since enumeration
NPI 1104289867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.018983
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
671 S LEWIS AVE, Waukegan, IL 60085

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
671 S LEWIS AVE
WAUKEGAN, IL 60085
Counselor (Mental Health)
671 S LEWIS AVE
WAUKEGAN, IL 60085
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085
Marriage & Family Therapist
671 S LEWIS AVE
WAUKEGAN, IL 60085
Social Worker
671 S LEWIS AVE
WAUKEGAN, IL 60085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Gutierrez Dominguez's NPI number?

The NPI number for Carla Gutierrez Dominguez is 1104289867. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Carla Gutierrez Dominguez located?

Carla Gutierrez Dominguez practices at 671 S Lewis Ave, Waukegan, IL 60085. The listed phone number is (847) 782-4156.

What is Carla Gutierrez Dominguez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carla Gutierrez Dominguez was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.