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DOMINIQUE JALISIA MICKLER LCSW
NPI 1710741343
Social Worker - Clinical in St Petersburg, FL

Active since February 13, 2024PECOS Enrolled
360 CENTRAL AVE STE 1230, ST PETERSBURG, FL 33701(172) 756-5242 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Jalisia Mickler Lcsw NPPES

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

DOMINIQUE JALISIA MICKLER LCSW (NPI 1710741343) is an individual clinical provider in St Petersburg, Florida, licensed in Florida (SW22641) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1710741343
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE JALISIA MICKLERCredential: LCSW
Location Address360 CENTRAL AVE STE 1230St Petersburg, FL 33701-3865
Mailing Address706 12th St EBradenton, FL 34208-2120 · (941) 920-8436
Phone(172) 756-5242
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1710741343 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 FL · SW22641
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.
360 CENTRAL AVE STE 1230, St Petersburg, FL 33701
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Secondary Practice Location 1

Location 19400 4th St N Ste 200St Petersburg, FL 33702-2501 · Phone (813) 508-7866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Jalisia Mickler Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33701 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 $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIVANI SAIBLE PH.D.
Psychologist
360 CENTRAL AVE STE 1230
ST PETERSBURG, FL 33701
Pinellas County (727) 565-2424
SARAH ZENTACK SC.M.
Genetic Counselor, MS
360 CENTRAL AVE STE 1230
SAINT PETERSBURG, FL 33701
Pinellas County (800) 975-4819
DR. SAMANTHA CHASE SPAGNA PSY.D.
Psychologist
360 CENTRAL AVE STE 1230
ST PETERSBURG, FL 33701
Pinellas County (727) 565-2424
DR. JENNIFER LYNN RODRIGUEZ PSYD
Psychologist (Clinical)
360 CENTRAL AVE STE 1230
ST PETERSBURG, FL 33701
Pinellas County (727) 565-2424
MRS. ERIN ENGEL M.S., CGC
Genetic Counselor, MS
360 CENTRAL AVE STE 1230
SAINT PETERSBURG, FL 33701
Pinellas County (800) 975-4819
DR. KENNY BORGAS
Psychologist (School)
360 CENTRAL AVE STE 1230
ST PETERSBURG, FL 33701
Pinellas County (727) 565-2424
SARA GOLDSTEIN MS, CGC
Genetic Counselor, MS
360 CENTRAL AVE STE 1230
ST PETERSBURG, FL 33701
Pinellas County (800) 975-4819
MS. RACHEL BARNETT MS, CGC
Genetic Counselor, MS
360 CENTRAL AVE STE 1230
ST PETERSBURG, FL 33701
Pinellas County (800) 975-4819

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 Mickler's NPI number?

The NPI number for Dominique Mickler is 1710741343. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Dominique Mickler located?

Dominique Mickler practices at 360 Central Ave Ste 1230, St Petersburg, FL 33701. The listed phone number is (172) 756-5242.

What is Dominique Mickler's specialty?

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

Is Dominique Mickler enrolled in Medicare?

Yes. Dominique Mickler is registered in the Medicare PECOS enrollment system.

What insurance does Dominique Mickler accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Dominique Mickler 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 Mickler was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.