CHRISTOPHER DOMINGUEZ LICENSED SOCIAL WORK
NPI 1831803444
Social Worker - Clinical in Chicago, IL

Q: What is Christopher Dominguez's NPI number?

The NPI number for Christopher Dominguez is 1831803444. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Christopher Dominguez's specialty?

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

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment

1701 W SUPERIOR ST, CHICAGO, IL 60622(312) 666-3494 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2024, Mar 6, 2023, Jan 9, 2023 (3 updates tracked since 2023).

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About Christopher Dominguez Licensed Social Work NPPES

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

CHRISTOPHER DOMINGUEZ LICENSED SOCIAL WORK (NPI 1831803444) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.025775) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Evanston, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831803444

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHRISTOPHER DOMINGUEZCredential: LICENSED SOCIAL WORK

Location Address1701 W SUPERIOR STChicago, IL 60622-5646

Mailing Address2747 S Avers AveChicago, IL 60623-4510 · (708) 336-9208

Phone(312) 666-3494

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 9, 2023

Last NPPES UpdateMay 16, 20243 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1831803444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.025775

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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37399 (IL)

1701 W SUPERIOR ST, Chicago, IL 60622

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Secondary Practice Location 1

Location 1708 Church St Ste 247Evanston, IL 60201-3840 · Phone (773) 357-6152

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christopher Dominguez Licensed Social Work is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476905548

PECOS Enrollment IDI20240115001221

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.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Erie Family Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

1701 W SUPERIOR ST
Chicago, IL 60622

Reassigned Medicare billing, Illinois enrollment
383 clinicians in this Medicare group

NPI 1760499545 (312) 432-7394

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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 $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

STEPHANIE MARIN

Social Worker (Clinical)