| Dominique Dew, LMSW | |
| 
					445 Winn Way, Decatur, GA 30030-1707  | |
| (404) 294-3835 | |
| Not Available | 
| Full Name | Dominique Dew | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 445 Winn Way, Decatur, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548705486 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Georgia) | Primary | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dominique Dew, LMSW 1122 Gables Way Ne, Atlanta, GA 30329-3229 Ph: (404) 625-2841  | Dominique Dew, LMSW 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 294-3835  | 
Mr. Clifton Hatcherson Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, 5247 Running Doe Drive, Decatur, GA 30030 Phone: 404-289-8445 Fax: 404-298-8288  | |
Mrs. Julia Narciss Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-378-2300 Fax: 404-378-2394  | |
Natasha Vayner,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-210-0569  | |
Stephanie Castillo,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Trinity Pl, Decatur, GA 30030 Phone: 404-378-2300  | |
Pearla Duncan Wall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2784 N Decatur Rd, Ste 145, Decatur, GA 30033 Phone: 404-292-2664 Fax: 404-292-2835  | |
Mrs. Susan Mccarthy Strickland, PHD, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Columbia Dr, Decatur, GA 30030 Phone: 770-601-4086  | |
Quintele Stanback-garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Social Worker Purple Clinic, Decatur, GA 30033 Phone: 404-321-6111  |