Dominique Shabazz
NPI 1154808855 · Clinical Social Worker · Hartford, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominique Shabazz is a Clinical Social Worker provider in Hartford, CT (NPI 1154808855).
Provider details
- NPI number
- 1154808855
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 101973 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1460 Meriden Waterbury TurnpikePlantsville, CT 06467Phone: (860) 778-0266
Registry dates
- Enumerated
- 2018-07-25
- Last updated
- 2018-07-25
Frequently asked questions
- What is Dominique Shabazz's NPI number?
- Dominique Shabazz's National Provider Identifier (NPI) is 1154808855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Shabazz's specialty?
- Dominique Shabazz is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dominique Shabazz located?
- Dominique Shabazz's practice location on file with NPPES is 660 Prospect Ave, Hartford, CT 06105-4230.
- What is Dominique Shabazz's phone number?
- The practice phone number listed in the NPPES registry for Dominique Shabazz is (860) 778-0266.
- Does Dominique Shabazz accept Medicare?
- Dominique Shabazz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dominique Shabazz's NPI active?
- Yes — Dominique Shabazz's NPI (1154808855) is active in the NPPES registry as of the last update on 2018-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.