| Mr Matthew David Domico, MSW, LCSW | |
|
712 E War Memorial Dr, Peoria, IL 61616-7548 | |
| (815) 701-6317 | |
| Not Available |
| Full Name | Mr Matthew David Domico |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 712 E War Memorial Dr, Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790999191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149013431 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew David Domico, MSW, LCSW 5901 N Prospect Rd Ste 105, Peoria, IL 61614-4358 Ph: (815) 701-6317 | Mr Matthew David Domico, MSW, LCSW 712 E War Memorial Dr, Peoria, IL 61616-7548 Ph: (815) 701-6317 |
Ginger Renee Hughes Garner, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-267-2289 | |
Jaimie M Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2265 W Altorfer Dr, Peoria, IL 61615 Phone: 309-683-7700 Fax: 309-683-7752 | |
Shannon Dolan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800 | |
Eddie K Wong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Fayette St, Peoria, IL 61603 Phone: 309-671-8005 Fax: 309-671-8021 | |
Mrs. Sandra Susan Cross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 W Detweiller Dr Ste 810, Peoria, IL 61615 Phone: 309-264-9517 | |
Catherine J Kilbourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Mrs. Sylvia Ana Murphy, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy, Suite 3, Peoria, IL 61615 Phone: 309-402-0666 Fax: 309-402-0563 |