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THERESA ROSE DOMENICHELLO LCSW
NPI 1427646074
Social Worker in Port Jeff Sta, NY

Active since January 08, 2021
646 MAIN ST STE 206, PORT JEFF STA, NY 11777(631) 213-9377 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2022, Aug 2, 2021, Jan 8, 2021 (3 updates tracked since 2021).

About Theresa Rose Domenichello Lcsw NPPES

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

THERESA ROSE DOMENICHELLO LCSW (NPI 1427646074) is an individual social worker in Port Jeff Sta, New York, licensed in New York (106018) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1427646074
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTHERESA ROSE DOMENICHELLOCredential: LCSW
Location Address646 MAIN ST STE 206Port Jeff Sta, NY 11777-2230
Mailing Address41 Sunlight WalkHolbrook, NY 11741-4972 · (631) 213-9377
Phone(631) 213-9377
Sole ProprietorYes
Enumeration DateJanuary 8, 2021
Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1427646074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 106018
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
646 MAIN ST STE 206, Port Jeff Sta, NY 11777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

LINDA S ROSASCO LCSW
Social Worker (Clinical)
646 MAIN ST STE 206
PORT JEFFERSON, NY 11777
Suffolk County (516) 580-9226

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 Theresa Domenichello's NPI number?

The NPI number for Theresa Domenichello is 1427646074. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Theresa Domenichello located?

Theresa Domenichello practices at 646 Main St Ste 206, Port Jeff Sta, NY 11777. The listed phone number is (631) 213-9377.

What is Theresa Domenichello's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

What insurance does Theresa Domenichello accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Theresa Domenichello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Domenichello was last updated on October 21, 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.