DOMINIQUE SEBASTIAN
NPI 1245707397
Social Worker - Clinical in Portland, OR

Q: What is Dominique Sebastian's NPI number?

The NPI number for Dominique Sebastian is 1245707397. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Q: What is Dominique Sebastian's specialty?

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

Active since October 26, 2018PECOS Enrolled

1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: October 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dominique Sebastian NPPES

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

DOMINIQUE SEBASTIAN (NPI 1245707397) is an individual clinical provider in Portland, Oregon and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245707397

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDOMINIQUE SEBASTIAN

Location Address1904 SE DIVISION STPortland, OR 97202-1146

Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 517-8663

Phone(503) 517-8663

Sole ProprietorYes

Enumeration DateOctober 26, 2018

✔ NPI 1245707397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

1904 SE DIVISION ST, Portland, OR 97202

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 (PECOS)

Dominique Sebastian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Kaiser Foundation Health Plan Of The Northwest

0.8 mi

General Practice

3060 SE HAWTHORNE BLVD
Portland, OR 97214

Reassigned Medicare billing, Oregon enrollment
3,207 clinicians in this Medicare group

NPI 1063990695 (800) 813-2000

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 97202 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 $58.99 – $176.88

Typical copayment $0.00 (range $14.74 – $44.22)

Most-billed visit code NA

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

MR. KIRK FENTON

Counselor (Mental Health)