IndividualActive
Jennifer Dominguez
NPI 1972931335 · Clinical Social Worker · Represa, CA
Provider details
- NPI number
- 1972931335
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21676 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
100 Prison Rd
Represa, CA 95671-0066
Phone: (916) 985-8610
Fax: (916) 294-3121
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 290066
Represa, CA 95671-0066
Registry dates
- Enumerated
- 2013-10-23
- Last updated
- 2022-09-07
- Certified
- 2022-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.