Kristine Dominique, LICSW - Clinical Social Worker in Charlestown, RI

Kristine Dominique, LICSW is a Social Worker - Clinical based in Charlestown, Rhode Island. Kristine Dominique is licensed to practice in Rhode Island (license number ISW01753) and her current practice location is 4705 Old Post Rd, Charlestown, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 364-7705.

NPI number for Kristine Dominique is 1386706521 and her current mailing address is Po Box 899, Charlestown, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386706521.

Contact Information

Kristine Dominique, LICSW
4705 Old Post Rd,
Charlestown, RI 02813-1819
(401) 364-7705
(401) 364-9104

Map and Direction




Healthcare Provider's Profile

Full NameKristine Dominique
GenderFemale
SpecialitySocial Worker - Clinical
Location4705 Old Post Rd, Charlestown, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386706521
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kristine Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386706521NPI-NPPES
KD50510MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ISW01753 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristine Dominique is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristine Dominique, LICSW
Po Box 899,
Charlestown, RI 02813-0899

Ph: (401) 364-7705
Kristine Dominique, LICSW
4705 Old Post Rd,
Charlestown, RI 02813-1819

Ph: (401) 364-7705

Reviews and Comments


Social Worker in Charlestown, RI

Ms. Jacqueline M Robshaw, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4705a Old Post Rd, Charlestown, RI 02813
Phone: 401-364-7705    Fax: 401-364-9104
Michael Cole Pendergast, MSW, LICSW, ACSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 4705a Old Post Rd, Charlestown, RI 02813
Phone: 401-364-7705    
Alexis T Schonrog, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 45b Buckeye Brook Rd, Charlestown, RI 02813
Phone: 401-741-8206    Fax: 866-387-6480
Rebecca Gessow, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4705a Old Post Rd, Charlestown, RI 02813
Phone: 401-364-7705    Fax: 401-364-9104
Mr. Joseph T Wilkinson, LICSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 3949 Old Post Rd, Charlestown, RI 02813
Phone: 401-862-7254    
Nathaniel Mazza,
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 4705 Old Post Rd Unit A, Charlestown, RI 02813
Phone: 401-346-7705    
Craig Warren Gaspard, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 51 Old Mill Rd, Charlestown, RI 02813
Phone: 401-364-1263    Fax: 401-364-5220

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.