Mrs Mary Elizabeth Domino, LCSW-C in Centreville, MD - Medicare Clinical Social Worker Provider

Mrs Mary Elizabeth Domino, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Centreville, Maryland. She graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Corsica River Mental Health Services, Inc. and her current practice location is 120 Banjo Lane, Centreville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 758-3050.

Mrs Mary Elizabeth Domino is licensed to practice in Maryland (license number 10791) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760666424.

Contact Information

	Mrs Mary Elizabeth Domino, LCSW-C
	120 Banjo Lane, Centreville, MD 21617
	(410) 758-3050
	(410) 758-0698

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Elizabeth Domino
Gender	Female
Speciality	Clinical Social Worker
Experience	34 Years
Location	120 Banjo Lane, Centreville, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mary Elizabeth Domino graduated from medical school in 1991

NPI Data:

NPI Number: 1760666424
Provider Enumeration Date: 12/18/2007
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4183619513
Enrollment ID: I20080424000545

Medical Identifiers

Medical identifiers for Mrs Mary Elizabeth Domino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760666424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	10791 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Corsica River Mental Health Services, Inc.	0941497382	8

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Mary Elizabeth Domino allows following entities to bill medicare on her behalf.

Entity Name	Corsica River Mental Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396077749 PECOS PAC ID: 0941497382 Enrollment ID: O20101210000133

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. Mrs Mary Elizabeth Domino is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Mary Elizabeth Domino, LCSW-C 120 Banjo Ln., Centreville, MD 21617 Ph: (410) 758-2211	Mrs Mary Elizabeth Domino, LCSW-C 120 Banjo Lane, Centreville, MD 21617 Ph: (410) 758-3050

Reviews and Comments

Social Worker in Centreville, MD

Lillian Sheehan, LCPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 152 Courseval Drive, Ste 142, Centreville, MD 21617 Phone: 410-228-3929 Fax: 410-228-3810
Mrs. Ida Maria Dacey, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-2211 Fax: 410-758-1223
Mrs. Paula Coulby Turner, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Banjo Ln, Centreville, MD 21617 Phone: 410-758-2211 Fax: 410-758-1223
Sarah Hepbron, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 N Liberty St, Centreville, MD 21617 Phone: 410-758-8750
Frances Huntley Williams-crawford, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 207 N Liberty St Ste B, Centreville, MD 21617 Phone: 410-758-8752
Joseph C Titus, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Banjo Lane, Centreville, MD 21617 Phone: 410-758-2211 Fax: 410-758-0698
Robert C Schmidt, LCPC NCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 142 Coursevall Dr, Centreville, MD 21617 Phone: 410-758-1787 Fax: 410-758-1789

Mrs Mary Elizabeth Domino, LCSW-C - Medicare Clinical Social Worker in Centreville, MD