DOMINIQUE EDGERLY LCSW
NPI 1205563012
Social Worker - Clinical in Greeley, CO

Active since August 02, 2022
928 12TH ST, GREELEY, CO 80631(970) 347-2120 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dominique Edgerly Lcsw NPPES

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

DOMINIQUE EDGERLY LCSW (NPI 1205563012) is an individual clinical provider in Greeley, Colorado, licensed in Colorado (CSW.09932370) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1205563012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE EDGERLYCredential: LCSW
Location Address928 12TH STGreeley, CO 80631-4024
Mailing Address1300 N 17th AveGreeley, CO 80631-9584 · (970) 347-2120
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1205563012 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 CO · CSW.09932370
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.
928 12TH ST, Greeley, CO 80631

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.

Community Health Worker
928 12TH ST
GREELEY, CO 80631
Counselor
928 12TH ST
GREELEY, CO 80631
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Social Worker (Clinical)
928 12TH ST
GREELEY, CO 80631
Counselor
928 12TH ST
GREELEY, CO 80631
Counselor (Professional)
928 12TH ST
GREELEY, CO 80631
Social Worker (Clinical)
928 12TH ST
GREELEY, CO 80631
Peer Specialist
928 12TH ST
GREELEY, CO 80631

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 Edgerly's NPI number?

The NPI number for Dominique Edgerly is 1205563012. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Dominique Edgerly located?

Dominique Edgerly practices at 928 12th St, Greeley, CO 80631. The listed phone number is (970) 347-2120.

What is Dominique Edgerly'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 Dominique Edgerly was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.