MAUREEN SUE DOMINGUEZ LCSW, MSW
NPI 1225655111
Social Worker - Clinical in Great Neck, NY

Q: What is Maureen Dominguez's NPI number?

The NPI number for Maureen Dominguez is 1225655111. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Q: What is Maureen Dominguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maureen Dominguez was last updated on October 11, 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.

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment

1010 NORTHERN BLVD STE 311, GREAT NECK, NY 11021(516) 788-8901 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2024, Jun 26, 2020 (2 updates tracked since 2020).

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About Maureen Sue Dominguez Lcsw, Msw NPPES

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

MAUREEN SUE DOMINGUEZ LCSW, MSW (NPI 1225655111) is an individual clinical provider in Great Neck, New York, licensed in New York (098382) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Ozone Park, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225655111

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMAUREEN SUE DOMINGUEZCredential: LCSW, MSW

Location Address1010 NORTHERN BLVD STE 311Great Neck, NY 11021-5329

Mailing Address1854 Maurice AveEast Meadow, NY 11554-1637 · (516) 578-7620

Phone(516) 788-8901

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 26, 2020

Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1225655111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 098382

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1010 NORTHERN BLVD STE 311, Great Neck, NY 11021

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Secondary Practice Location 1

Location 110819 Rockaway BlvdSouth Ozone Park, NY 11420-1034 · Phone (516) 569-6600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Maureen Sue Dominguez Lcsw, Msw 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 ID2365972437

PECOS Enrollment IDI20250205002605

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 Maureen Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nassau Psychology, P.C.

9.0 mi

Psychologist

777 SUNRISE HWY STE 200
Lynbrook, NY 11563

Reassigned Medicare billing, New York enrollment
47 clinicians in this Medicare group

NPI 1750763538 (516) 350-8564

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 11021 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 $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 10

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

CHENNING GAO

Counselor (Mental Health)