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DOMINIQUE LATRECE SQUIRE LCSW
NPI 1174125322
Social Worker - Clinical in Winterville, NC

Active since November 12, 2020PECOS Enrolled
575 S SQUARE DR APT 103, WINTERVILLE, NC 28590(919) 423-7483 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2021, Nov 12, 2020 (2 updates tracked since 2020).

About Dominique Latrece Squire Lcsw NPPES

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

DOMINIQUE LATRECE SQUIRE LCSW (NPI 1174125322) is an individual clinical provider in Winterville, North Carolina, licensed in North Carolina (C017135) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174125322
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE LATRECE SQUIRECredential: LCSW
Location Address575 S SQUARE DR APT 103Winterville, NC 28590-8699
Mailing Address575 S Square Dr Apt 103Winterville, NC 28590-8699 · (919) 423-7483
Phone(919) 423-7483
Sole ProprietorYes
Enumeration DateNovember 12, 2020
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1174125322 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 NC · C017135
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.
575 S SQUARE DR APT 103, Winterville, NC 28590
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Latrece Squire Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Dominique Squire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
694 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Kentucky and North Carolina enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28590 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Squire's NPI number?

The NPI number for Dominique Squire is 1174125322. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Dominique Squire located?

Dominique Squire practices at 575 S Square Dr Apt 103, Winterville, NC 28590. The listed phone number is (919) 423-7483.

What is Dominique Squire's specialty?

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

Is Dominique Squire enrolled in Medicare?

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

Which organization bills Medicare for Dominique Squire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Squire reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Squire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Squire accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Dominique Squire 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 Squire was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.