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DOMINIQUE SHABAZZ
NPI 1154808855
Social Worker - Clinical in Hartford, CT

Active since July 25, 2018PECOS Enrolled
660 PROSPECT AVE, HARTFORD, CT 06105(860) 778-0266 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Shabazz NPPES

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

DOMINIQUE SHABAZZ (NPI 1154808855) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (101973) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154808855
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE SHABAZZ
Location Address660 PROSPECT AVEHartford, CT 06105-4230
Mailing Address40 Court StWindsor, CT 06095-2909
Phone(860) 778-0266
Sole ProprietorNo
Enumeration DateJuly 25, 2018
✔ NPI 1154808855 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 CT · 101973
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.
660 PROSPECT AVE, Hartford, CT 06105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Shabazz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

THE ENLIGHTENMENT COUNSELING CENTER LLC
Counselor (Professional)
660 PROSPECT AVE, 2ND FLOOR
HARTFORD, CT 06105
Capitol Planning Region (860) 729-6138
MRS. ERIKA K WHETZEL LMFT
Marriage & Family Therapist
660 PROSPECT AVE, SUITE 4
HARTFORD, CT 06105
Capitol Planning Region (860) 967-3174
ABA CONNECTIONS
Behavior Analyst
660 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 951-6375
DR. JAMES CARL BOZZUTO M.D.
Psychiatry & Neurology (Psychiatry)
660 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 233-8672
MRS. NATHALIE AMANDA ORTIZ LCSW
Social Worker (Clinical)
660 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 368-8921
CHRISTOPHER ALBINI LPC
Counselor (Professional)
660 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 877-2250
SHINEA GIRARD
Social Worker
660 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 999-4431
KAITLIN BREXEL
Social Worker
660 PROSPECT AVE
HARTFORD, CT 06105
Capitol Planning Region (860) 729-3284

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 Dominique Shabazz's NPI number?

The NPI number for Dominique Shabazz is 1154808855. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Dominique Shabazz located?

Dominique Shabazz practices at 660 Prospect Ave, Hartford, CT 06105. The listed phone number is (860) 778-0266.

What is Dominique Shabazz's specialty?

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

Is Dominique Shabazz enrolled in Medicare?

Yes. Dominique Shabazz is registered in the Medicare PECOS enrollment system.

What insurance does Dominique Shabazz accept?

Health plans from Providence Health Plan list Dominique Shabazz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Shabazz was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.