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MRS. ROXANNE B DOMINIS LCSW
NPI 1497962641
Social Worker - Clinical in Chicago, IL

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
2502 N CLARK ST STE 218, CHICAGO, IL 60614(312) 375-7428 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Roxanne B Dominis Lcsw NPPES

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

MRS. ROXANNE B DOMINIS LCSW (NPI 1497962641) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149011984) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Park, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1497962641
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ROXANNE B DOMINISCredential: LCSW
Location Address2502 N CLARK ST STE 218Chicago, IL 60614-1850
Mailing AddressPo Box 4439Oak Park, IL 60304-0611 · (312) 375-7428 · Fax (708) 456-5505
Phone(312) 375-7428
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1497962641 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 IL · 149011984
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.
2502 N CLARK ST STE 218, Chicago, IL 60614
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Secondary Practice Location 1

Location 1715 Lake St Ste 910Oak Park, IL 60301-1418 · Phone (312) 375-7428

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Roxanne B Dominis Lcsw 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.

PECOS PAC ID2062750375
PECOS Enrollment IDI20190212002462
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 Roxanne Dominis's NPI number?

The NPI number for Roxanne Dominis is 1497962641. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Roxanne Dominis located?

Roxanne Dominis practices at 2502 N Clark St Ste 218, Chicago, IL 60614. The listed phone number is (312) 375-7428.

What is Roxanne Dominis's specialty?

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

Is Roxanne Dominis enrolled in Medicare?

Yes. Roxanne Dominis 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.

When was this NPI record last updated?

The NPPES record for Roxanne Dominis was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.