Dominiquea Edmiston, LCSW
NPI 1619618212 · Clinical Social Worker · Statesville, NC
Dominiquea Edmiston, LCSW is a Clinical Social Worker provider in Statesville, NC (NPI 1619618212).
Provider details
- NPI number
- 1619618212
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 18434 (AZ)
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
4 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)
- 1115 E Lemon StTempe, AZ 85281-4028Phone: (602) 525-7997
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2024-08-04
- Certified
- 2022-07-20
Frequently asked questions
- What is Dominiquea Edmiston's NPI number?
- Dominiquea Edmiston's National Provider Identifier (NPI) is 1619618212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominiquea Edmiston's specialty?
- Dominiquea Edmiston is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dominiquea Edmiston located?
- Dominiquea Edmiston's practice location on file with NPPES is 806 Phillips Ln, Statesville, NC 28625-4596.
- What is Dominiquea Edmiston's phone number?
- The practice phone number listed in the NPPES registry for Dominiquea Edmiston is (602) 525-7997.
- Is Dominiquea Edmiston's NPI active?
- Yes — Dominiquea Edmiston's NPI (1619618212) is active in the NPPES registry as of the last update on 2024-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.