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DR. EUGENE DOMENICO PHD LCSW
NPI 1679608103
Counselor - Mental Health in Lockport, NY

Active since February 23, 2007PECOS Enrolled
MARKET STREET, BEWLEY BUILDING SUITE #437, LOCKPORT, NY 14094(716) 438-2436(716) 438-2435 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Eugene Domenico Phd Lcsw NPPES

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

DR. EUGENE DOMENICO PHD LCSW (NPI 1679608103) is an individual mental health provider in Lockport, New York, licensed in New York (034738-1) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1679608103
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. EUGENE DOMENICOCredential: PHD LCSW
Location AddressMARKET STREET, BEWLEY BUILDING SUITE #437Lockport, NY 14094
Mailing AddressMarket Street, Bewley Building Suite #437Lockport, NY 14094 · (716) 438-2436 · Fax (716) 438-2435
Phone(716) 438-2436
Fax(716) 438-2435
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 23, 2007
Last NPPES UpdateDecember 16, 2009
✔ NPI 1679608103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 034738-1
Also ListedPsychologistTaxonomy 103T00000X · License 034738-1 (NY)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 034738-1 (NY)
MARKET STREET, Lockport, NY 14094
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Other Identifiers 2

Other000511600005NY · Bcbs
Other00020255501NY · Univera

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eugene Domenico Phd Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628163987
PECOS Enrollment IDI20071002000028
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.

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 Eugene Domenico's NPI number?

The NPI number for Eugene Domenico is 1679608103. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Eugene Domenico located?

Eugene Domenico practices at Market Street Bewley Building Suite #437, Lockport, NY 14094. The listed phone number is (716) 438-2436.

What is Eugene Domenico's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eugene Domenico enrolled in Medicare?

Yes. Eugene Domenico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eugene Domenico was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.