Jessica Dominguez, LCSW
NPI 1407176209 · Clinical Social Worker · Smithtown, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Dominguez, LCSW is a Clinical Social Worker provider in Smithtown, NY (NPI 1407176209).
Provider details
- NPI number
- 1407176209
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 080537-1 (NY)
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
16 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
- 2010-06-03
- Last updated
- 2015-08-20
Frequently asked questions
- What is Jessica Dominguez's NPI number?
- Jessica Dominguez's National Provider Identifier (NPI) is 1407176209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Dominguez's specialty?
- Jessica Dominguez is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Dominguez located?
- Jessica Dominguez's practice location on file with NPPES is 11 Route 111, Smithtown, NY 11787-3712.
- What is Jessica Dominguez's phone number?
- The practice phone number listed in the NPPES registry for Jessica Dominguez is (631) 920-8300.
- Does Jessica Dominguez accept Medicare?
- Jessica Dominguez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Dominguez's NPI active?
- Yes — Jessica Dominguez's NPI (1407176209) is active in the NPPES registry as of the last update on 2015-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.