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DOMINIQUE PAGE DUBOIS LCSW
NPI 1477854073
Social Worker - Clinical in Portland, OR

Active since November 12, 2010
12790 SE STARK ST, PORTLAND, OR 97233(503) 328-1512(503) 238-2436 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Page Dubois Lcsw NPPES

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

DOMINIQUE PAGE DUBOIS LCSW (NPI 1477854073) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L6771) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1477854073
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE PAGE DUBOISCredential: LCSW
Location Address12790 SE STARK STPortland, OR 97233-1552
Mailing Address6420 S Macadam Ave Ste 330Portland, OR 97239-3564 · (503) 477-7878
Phone(503) 328-1512
Fax(503) 238-2436
Sole ProprietorNo
Enumeration DateNovember 12, 2010
Last NPPES UpdateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1477854073 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 OR · L6771
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
12790 SE STARK ST, Portland, OR 97233
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Other Identifiers 1

Medicaid123190OR

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 ›

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 Dubois's NPI number?

The NPI number for Dominique Dubois is 1477854073. It was assigned to this individual provider in the NPPES registry on November 12, 2010.

Where is Dominique Dubois located?

Dominique Dubois practices at 12790 SE Stark St, Portland, OR 97233. The listed phone number is (503) 328-1512.

What is Dominique Dubois's specialty?

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

What insurance does Dominique Dubois accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Dominique Dubois 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 Dominique Dubois was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.