MR. MATTHEW DAVID DOMICO MSW, LCSW
NPI 1790999191
Social Worker - Clinical in Peoria, IL

Active since May 09, 2007
712 E WAR MEMORIAL DR, PEORIA, IL 61616(815) 701-6317 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Matthew David Domico Msw, Lcsw NPPES

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

MR. MATTHEW DAVID DOMICO MSW, LCSW (NPI 1790999191) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149013431) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1790999191
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MATTHEW DAVID DOMICOCredential: MSW, LCSW
Location Address712 E WAR MEMORIAL DRPeoria, IL 61616-7548
Mailing Address5901 N Prospect Rd Ste 105Peoria, IL 61614-4358 · (815) 701-6317
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 31, 2025
NPPES CertifiedAugust 31, 2025
NPI 1790999191 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 · 149013431
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.
712 E WAR MEMORIAL DR, Peoria, IL 61616

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
712 E WAR MEMORIAL DR
PEORIA, IL 61616

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 Matthew Domico's NPI number?

The NPI number for Matthew Domico is 1790999191. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Matthew Domico located?

Matthew Domico practices at 712 E War Memorial Dr, Peoria, IL 61616. The listed phone number is (815) 701-6317.

What is Matthew Domico's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Domico was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.