DOMINIQUE DRIESSEN-ESPANA LCSW
NPI 1598036600
Counselor - Professional in Savannah, GA
About Dominique Driessen-espana Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE DRIESSEN-ESPANA LCSW (NPI 1598036600) is an individual professional provider in Savannah, Georgia, licensed in Georgia (006663) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominique Driessen-espana Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dominique Driessen-espana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt Pleasant, SC 29464
- Reassigned Medicare billing, South Carolina enrollment
- 65 clinicians in this Medicare group
Glen Allen, VA 23059
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Holon Health Great Lakes PC
- 21 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.
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 Driessen-espana's NPI number?
The NPI number for Dominique Driessen-espana is 1598036600. It was assigned to this individual provider in the NPPES registry on January 20, 2012.
Where is Dominique Driessen-espana located?
Dominique Driessen-espana practices at 7370 Memorial Drive Suite E-10, Savannah, GA 31406. The listed phone number is (843) 422-5290.
What is Dominique Driessen-espana's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Dominique Driessen-espana enrolled in Medicare?
Yes. Dominique Driessen-espana is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dominique Driessen-espana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Driessen-espana reassigns Medicare benefits to 2 organizations: Supportive Care Of South Carolina LLC (Mt Pleasant, SC) and Holon Health Great Lakes, P.C. (Glen Allen, VA). 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 Driessen-espana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Driessen-espana accept?
Health plans from CareSource, Cigna Healthcare and UnitedHealthcare list Dominique Driessen-espana 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 Driessen-espana was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dominique Driessen-Espana, LCSW · NPI 1598036600
Professional provider in Savannah, Georgia. Individual provider, active in the CMS NPPES registry since January 20, 2012.
## Identity
- **NPI:** 1598036600 (Entity type: Individual)
- **Enumerated:** January 20, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 006663 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7370 MEMORIAL DRIVE, SUITE E-10, Savannah, GA 31406
- **Phone:** (843) 422-5290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Supportive Care Of South Carolina LLC (NPI 1417681412, Mt Pleasant, SC); Holon Health Great Lakes, P.C. (NPI 1194414805, Glen Allen, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1598036600) · Data from the CMS NPPES public registry.