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DOMINIQUE CARRILLO
NPI 1174487482
Social Worker - Clinical in Tucson, AZ

Active since December 11, 2025PECOS EnrolledAccepts Medicare Assignment
2224 N CRAYCROFT RD STE 100, TUCSON, AZ 85712(520) 201-0730(520) 614-6050 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dominique Carrillo NPPES

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

DOMINIQUE CARRILLO (NPI 1174487482) is an individual clinical provider in Tucson, Arizona, licensed in Arizona (23475) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174487482
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE CARRILLO
Location Address2224 N CRAYCROFT RD STE 100Tucson, AZ 85712-2811
Mailing Address2850 N Country Club RdTucson, AZ 85716-1910 · (520) 322-6274 · Fax (520) 509-4496
Phone(520) 201-0730
Fax(520) 614-6050
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1174487482 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 AZ · 23475
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.
2224 N CRAYCROFT RD STE 100, Tucson, AZ 85712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominique Carrillo 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 ID2062908197
PECOS Enrollment IDI20251229001347
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 Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Escalera Health LLC
Same address
Family Medicine
2224 NORTH CRAYCROFT ROAD, STE 100
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 118 clinicians in this Medicare group
NPI 1487146171 (520) 209-1919

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 85712 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

LINDA SWEENEY
Social Worker
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 636-8884
MRS. REYNELDA FELDER MAXWELL MA, CART, LPC
Counselor (Professional)
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 896-1400
PAULA NORRIS
Social Worker (Clinical)
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 896-1400
MARJORIE LEVY STRICKLIN LCSW
Social Worker (Clinical)
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 896-1400
TALIA THURBER LMSW
Social Worker (Clinical)
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 896-1400
ALEXANDRA DEWALD
Counselor (Mental Health)
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 896-1400
DAWN MARIE POWERS LAC
Counselor
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 636-8884
JO-ANN MARCUS
Social Worker (Clinical)
2224 N CRAYCROFT RD STE 100
TUCSON, AZ 85712
Pima County (520) 209-1919

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 Carrillo's NPI number?

The NPI number for Dominique Carrillo is 1174487482. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Dominique Carrillo located?

Dominique Carrillo practices at 2224 N Craycroft Rd Ste 100, Tucson, AZ 85712. The listed phone number is (520) 201-0730.

What is Dominique Carrillo's specialty?

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

Is Dominique Carrillo enrolled in Medicare?

Yes. Dominique Carrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dominique Carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Carrillo reassigns Medicare benefits to Escalera Health LLC (Tucson, AZ). 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 Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Carrillo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Dominique Carrillo 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 Carrillo was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.