MS. MARTHA DOMINGUEZ LCSW, LMFT NPI 1205943537
Social Worker - Clinical in El Paso, TX
About MS. MARTHA DOMINGUEZ LCSW, LMFT
Martha Dominguez is a provider established in El Paso, Texas and her medical specialization is Social Worker with a focus in clinical with more than 43 years of experience. The NPI number of Martha Dominguez is 1205943537 and was assigned on August 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 1249 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.
A clinical social worker like Ms. Martha Dominguez Lcsw, Lmft is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
| NPI | 1205943537 |
| Provider Name | MS. MARTHA DOMINGUEZ LCSW, LMFT |
| Provider Location Address | 5959 GATEWAY BLVD W SUITE 501 EL PASO, TX 79925 |
| Provider Mailing Address | 5959 GATEWAY BLVD W SUITE 501 EL PASO, TX 79925 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 08-24-2006 |
| Last Update Date | 01-05-2015 |
Martha Dominguez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Martha Dominguez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Primary Taxonomy
| Taxonomy Code | 1041C0700X |
| Classification | Social Worker |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| License No. | 1249 |
| License State | TX |
| Taxonomy Description | 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. |
Business Address
MS. MARTHA DOMINGUEZ LCSW, LMFT
5959 GATEWAY BLVD W
SUITE 501
EL PASO, TX
ZIP 79925
Phone: (915) 772-1829
Fax: (915) 772-5133
Mailing Address
MS. MARTHA DOMINGUEZ LCSW, LMFT
5959 GATEWAY BLVD W
SUITE 501
EL PASO, TX
ZIP 79925
Phone: (915) 772-1829
Fax: (915) 772-5133
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3274616313 |
| PECOS Enrollment ID | I20080212000521 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | No |
| Eligible order / refer Power Mobility Devices | No |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 3959 | TX | No | |
Taxonomy Description: a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1164899-03 | MEDICAID (05) | TX | |
| 00055P | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| 00S18W | OTHER (01) | TX | BXBS |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 4 | 3 | 5 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 4 | 6 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 4 + 6 + 5 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1205943537 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861440653 | DR. STEVEN S LARSON M.D. Individual | Surgery | 5959 GATEWAY BLVD W SUITE 120 EL PASO, TX 79925 (915) 779-1716 |
| 1326081795 | JORGE JUAN ARANGO MD Individual | Otolaryngology | 5959 GATEWAY BLVD W #160 EL PASO, TX 79925 (915) 779-5866 |
| 1306875547 | CRNA ASSOCIATES INC Organization | Anesthesiology | 5959 GATEWAY BLVD W STE 120 EL PASO, TX 79925 (915) 779-1716 |
| 1255360400 | CHRISTINA C. ADAMS CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1760412951 | CHERYL A. ROSSI CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1912937236 | RITA L. FORHAN CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W ST.E 120 EL PASO, TX 79925 (915) 779-1716 |
| 1023048287 | JUAN J. TORRES CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1780615039 | MARGARET K. COLLINS CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1770515066 | TIMOTHY F. AQUILINA CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1053345769 | PATRICK R. HANDY CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1942234505 | RICHARD A. NODERER JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1497851190 | SOUTHWEST ANESTHESIA GROUP, P.A. Organization | Anesthesiology | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 774-5539 |
| 1962508739 | EMMANUEL RIVERA M.D. Individual | Anesthesiology | 5959 GATEWAY BLVD W #120 EL PASO, TX 79925 (915) 779-1716 |
| 1548367212 | LUIS F. VIGIL M.D. Individual | Anesthesiology | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1801994041 | CORNELIUS W. WAKEFIELD M.D. Individual | Anesthesiology | 5959 GATEWAY BLVD W # 120 EL PASO, TX 79925 (915) 779-1716 |
| 1629142864 | JOSEPH A. MORENO M.D. Individual | Anesthesiology | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1972668184 | EL PASO ANESTHESIA SPECIALISTS PA Organization | Anesthesiology | 5959 GATEWAY BLVD W STE 120 EL PASO, TX 79925 (915) 774-5510 |
| 1932240629 | SOUTHWEST EAR NOSE & THROAT CONSULTANTS PA Organization | Otolaryngology | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1225167711 | LESHIA M. HUNT CRNA Individual | Nurse Anesthetist, Certified Registered | 5959 GATEWAY BLVD W STE. 120 EL PASO, TX 79925 (915) 779-1716 |
| 1588841662 | HO JIN KIM, M.D., P.A. Organization | Anesthesiology | 5959 GATEWAY BLVD W 120 EL PASO, TX 79925 (915) 779-1716 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Ms. Martha Dominguez Lcsw, Lmft is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.