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MISS CARRIE DOMINICZAK SACIT
NPI 1871075630
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since August 29, 2018
2357 W MASON ST, GREEN BAY, WI 54303(920) 337-6740(920) 337-6741 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Carrie Dominiczak Sacit NPPES

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

MISS CARRIE DOMINICZAK SACIT (NPI 1871075630) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (18489-130) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1871075630
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS CARRIE DOMINICZAKCredential: SACIT
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 337-6740 · Fax (920) 337-6741
Phone(920) 337-6740
Fax(920) 337-6741
Sole ProprietorNo
Enumeration DateAugust 29, 2018
✔ NPI 1871075630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 18489-130
2357 W MASON ST, Green Bay, WI 54303
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Other Identifiers 1

Medicaid42030700WI

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.

LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
CARRIE QUINNELL LPN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
CORTLEE PLASS CSAC
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JILLIAN SCOTT SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
STACEY VAN SCHYNDEL LPN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JADEN HENDZEL SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
TYLER WEBB SACIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740

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 Carrie Dominiczak's NPI number?

The NPI number for Carrie Dominiczak is 1871075630. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Carrie Dominiczak located?

Carrie Dominiczak practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 337-6740.

What is Carrie Dominiczak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carrie Dominiczak was last updated on August 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.