IndividualActive
Theresa Domenichello, LCSW
NPI 1427646074 · Social Worker · Port Jeff Sta, NY
Theresa Domenichello, LCSW is a Social Worker provider in Port Jeff Sta, NY (NPI 1427646074).
Provider details
- NPI number
- 1427646074
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 106018 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
646 Main St Ste 206
Port Jeff Sta, NY 11777-2230
Phone: (631) 213-9377
Street-level locationGet directions
Mailing address
41 Sunlight Walk
Holbrook, NY 11741-4972
Registry dates
- Enumerated
- 2021-01-08
- Last updated
- 2024-10-21
- Certified
- 2024-10-21
Frequently asked questions
- What is Theresa Domenichello's NPI number?
- Theresa Domenichello's National Provider Identifier (NPI) is 1427646074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Domenichello's specialty?
- Theresa Domenichello is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Theresa Domenichello located?
- Theresa Domenichello's practice location on file with NPPES is 646 Main St Ste 206, Port Jeff Sta, NY 11777-2230.
- What is Theresa Domenichello's phone number?
- The practice phone number listed in the NPPES registry for Theresa Domenichello is (631) 213-9377.
- Is Theresa Domenichello's NPI active?
- Yes — Theresa Domenichello's NPI (1427646074) is active in the NPPES registry as of the last update on 2024-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.