BETH A DOMINGUE LCSW - NPI 1649504465 - Social Worker in Culver City, CA

Q: What is Beth Domingue's NPI number?

The NPI number for Beth Domingue is 1649504465. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Q: What is Beth Domingue's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beth Domingue was last updated on September 10, 2018. 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.

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About Beth A Domingue Lcsw NPPES

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

BETH A DOMINGUE LCSW (NPI 1649504465) is an individual clinical provider in Culver City, California, licensed in California (85661) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1649504465

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameBETH A DOMINGUECredential: LCSW

Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824

Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 840-7023

Phone(310) 945-3350

Fax(310) 840-7023

Sole ProprietorYes

Enumeration DateSeptember 25, 2009

Last NPPES UpdateSeptember 10, 20182 updates tracked since enumeration

✔ NPI 1649504465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 85661

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 · License 32872 (CA)

Also ListedRehabilitation PractitionerTaxonomy 225400000X

9808 VENICE BLVD STE 700, Culver City, CA 90232

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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.

KEVIN JACOB WINSTON

Rehabilitation Practitioner