Nicole Domine, LICSW
NPI 1396280954 · Clinical Social Worker · Fargo, ND
Nicole Domine, LICSW is a Clinical Social Worker provider in Fargo, ND (NPI 1396280954).
Provider details
- NPI number
- 1396280954
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 23025 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2017-01-05
- Last updated
- 2024-11-22
- Certified
- 2024-11-22
Frequently asked questions
- What is Nicole Domine's NPI number?
- Nicole Domine's National Provider Identifier (NPI) is 1396280954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Domine's specialty?
- Nicole Domine is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Nicole Domine located?
- Nicole Domine's practice location on file with NPPES is 4357 13th Ave S Ste 104, Fargo, ND 58103-7504.
- What is Nicole Domine's phone number?
- The practice phone number listed in the NPPES registry for Nicole Domine is (701) 478-4480.
- Is Nicole Domine's NPI active?
- Yes — Nicole Domine's NPI (1396280954) is active in the NPPES registry as of the last update on 2024-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.