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HARRISON DOMESHEK
NPI 1114728052
Social Worker - Clinical in Jacksonville, FL

Active since March 24, 2025
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210(904) 448-4700 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harrison Domeshek NPPES

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

HARRISON DOMESHEK (NPI 1114728052) is an individual clinical provider in Jacksonville, Florida and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1114728052
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameHARRISON DOMESHEK
Location Address4595 LEXINGTON AVEJacksonville, FL 32210-2058
Mailing Address4595 Lexington AveJacksonville, FL 32210-2058 · (904) 448-4700
Phone(904) 448-4700
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1114728052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4595 LEXINGTON AVE, Jacksonville, FL 32210
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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.

SERGIO PEREZ
Counselor (Mental Health)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
TERRICA STENNIS
Case Manager/Care Coordinator
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
MRS. RACHEL H COLAVITO MS, LMFT
Marriage & Family Therapist
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 783-2579
HOPE REBEKAH DOLANSKY I MSW
Social Worker (Clinical)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 776-8897
CHILD GUIDANCE CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
REGINA P MARTIN
Counselor (Mental Health)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
BRIONE ALLEN
Counselor (Mental Health)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
SIMONE STOKES
Social Worker
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700

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 Harrison Domeshek's NPI number?

The NPI number for Harrison Domeshek is 1114728052. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Harrison Domeshek located?

Harrison Domeshek practices at 4595 Lexington Ave, Jacksonville, FL 32210. The listed phone number is (904) 448-4700.

What is Harrison Domeshek'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 Harrison Domeshek was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.