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VIRGEN L DOMINGUEZ LCSW
NPI 1811637630
Social Worker - Clinical in St Augustine, FL

Active since March 30, 2022
100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 32086(904) 829-0814 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virgen L Dominguez Lcsw NPPES

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

VIRGEN L DOMINGUEZ LCSW (NPI 1811637630) is an individual clinical provider in St Augustine, Florida, licensed in Florida (SW12393) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1811637630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVIRGEN L DOMINGUEZCredential: LCSW
Location Address100 DEERFIELD PRESERVE BLVDSt Augustine, FL 32086-5966
Mailing Address100 Deerfield Preserve BlvdSt Augustine, FL 32086-5966 · (904) 829-0814
Phone(904) 829-0814
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1811637630 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 · SW12393
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.
100 DEERFIELD PRESERVE BLVD, St Augustine, FL 32086
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Other Providers at the Same Location NPPES 16

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

ABIGAIL CARTLEDGE RDN
Dietitian, Registered
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
MRS. SUSAN MICHELLE RUDAY MSN, RN
Registered Nurse (Home Health)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
DUSTIN BLEND LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
MARIA CIRILLO LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
BRITTANY COLE OT
Occupational Therapist
100 DEERFIELD PRESERVE BLVD
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
WESLEY PAUL CONWAY
Social Worker
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (516) 254-2954
EMILY PERRY LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-2896
MR. JORGE L CORDOVA - RUIZ M.D
General Practice
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814

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 Virgen Dominguez's NPI number?

The NPI number for Virgen Dominguez is 1811637630. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Virgen Dominguez located?

Virgen Dominguez practices at 100 Deerfield Preserve Blvd, St Augustine, FL 32086. The listed phone number is (904) 829-0814.

What is Virgen Dominguez'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 Virgen Dominguez was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.