KRISTINE DOMINIQUE LICSW
NPI 1386706521
Social Worker - Clinical in Charlestown, RI

Q: What is Kristine Dominique's NPI number?

The NPI number for Kristine Dominique is 1386706521. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Kristine Dominique's specialty?

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

Active since December 14, 2006

4705 OLD POST RD, CHARLESTOWN, RI 02813(401) 364-7705(401) 364-9104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kristine Dominique Licsw NPPES

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

KRISTINE DOMINIQUE LICSW (NPI 1386706521) is an individual clinical provider in Charlestown, Rhode Island, licensed in Rhode Island (ISW01753) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1386706521

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTINE DOMINIQUECredential: LICSW

Location Address4705 OLD POST RDCharlestown, RI 02813-1819

Mailing AddressPo Box 899Charlestown, RI 02813-0899 · (401) 364-7705 · Fax (401) 364-9104

Phone(401) 364-7705

Fax(401) 364-9104

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386706521 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 RI · ISW01753

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.

4705 OLD POST RD, Charlestown, RI 02813

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Other Identifiers 1

MedicaidKD50510RI

Other Providers at the Same Location NPPES 17

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

COLLEEN BURTIS KENNY RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)