DOMINIQUE MOOSKIN LICSW
NPI 1457963019
Social Worker - Clinical in Washington, DC
About Dominique Mooskin Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE MOOSKIN LICSW (NPI 1457963019) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50082447) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Dominique Mooskin Licsw 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.
Medicare Billing Reassignments
3Medicare enrollment records show Dominique Mooskin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20019
- Reassigned Medicare billing, District of Columbia enrollment
- 86 clinicians in this Medicare group
Washington, DC 20009
- Reassigned Medicare billing, District of Columbia enrollment
- 343 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, District of Columbia enrollment
- 18 clinicians in this Medicare group
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 20019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WASHINGTON, DC 20019
WASHINGTON, DC 20019
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 Dominique Mooskin's NPI number?
The NPI number for Dominique Mooskin is 1457963019. It was assigned to this individual provider in the NPPES registry on August 17, 2020.
Where is Dominique Mooskin located?
Dominique Mooskin practices at 4017 Minnesota Ave NE, Washington, DC 20019. The listed phone number is (202) 388-4300.
What is Dominique Mooskin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Dominique Mooskin enrolled in Medicare?
Yes. Dominique Mooskin 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.
Which organizations bill Medicare for Dominique Mooskin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Mooskin reassigns Medicare benefits to 3 organizations: Mbi Health Services LLC (Washington, DC), Unity Health Care, Inc. (Washington, DC) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Mooskin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dominique Mooskin was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dominique Mooskin, LICSW · NPI 1457963019
Clinical provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since August 17, 2020.
## Identity
- **NPI:** 1457963019 (Entity type: Individual)
- **Enumerated:** August 17, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LC50082447 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4017 MINNESOTA AVE NE, Washington, DC 20019-3541
- **Phone:** (202) 388-4300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mbi Health Services LLC (NPI 1396048070, Washington, DC); Unity Health Care, Inc. (NPI 1093894172, Washington, DC); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1457963019) · Data from the CMS NPPES public registry.