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

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: August 02, 2026.

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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 788-8901
ANDREW PIERRE
Counselor (Mental Health)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (917) 409-6184
JUBY KURIAN LMHC, MA
Counselor (Mental Health)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 788-8901
MISS GERALDINE AMY DELGADO LMSW
Social Worker
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 788-8901
MR. NENDLER MICHEL MSW, LCSW, CASAC-A
Social Worker (Clinical)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 788-8901
LI HEALTH SERVICES LCSW PLLC
Social Worker (Clinical)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 367-0581
WILMARIE FELIZ MA, LMHC
Counselor (Mental Health)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 788-8901
NICOLE JENAL
Counselor (Mental Health)
1010 NORTHERN BLVD STE 311
GREAT NECK, NY 11021
Nassau County (516) 788-8901

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 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.

Where is Maureen Dominguez located?

Maureen Dominguez practices at 1010 Northern Blvd Ste 311, Great Neck, NY 11021. The listed phone number is (516) 788-8901.

What is Maureen Dominguez's specialty?

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

Is Maureen Dominguez enrolled in Medicare?

Yes. Maureen Dominguez 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.

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 21 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.