Ms Rosalva Dominguez, LCSW is a
Social Worker - Clinical based in Santa Fe Springs, California. Ms Rosalva Dominguez is licensed to practice in California (license number LCSW91222) and her current practice location is
11731 Telegraph Rd Ste K, Santa Fe Springs, California. She can be reached at her office (for appointments etc.) via phone at
(562) 907-7429.
NPI number for Ms Rosalva Dominguez is 1366623811 and her current mailing address is 2214 Redwood Ave, Ontario, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366623811.
Healthcare Provider's Profile
| Full Name | Ms Rosalva Dominguez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 11731 Telegraph Rd Ste K, Santa Fe Springs, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366623811
- Provider Enumeration Date: 11/26/2007
- Last Update Date: 01/05/2022
Medical Identifiers
Medical identifiers for Ms Rosalva Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366623811 | NPI | - | NPPES |
| 101YM0800X | Other | CA | ASSOCIATE CLINICAL SOCIAL WORKER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | ASW 22403 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 91222 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW91222 (California) | 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. Ms Rosalva Dominguez 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 Address | Practice Location Address |
Ms Rosalva Dominguez, LCSW 2214 Redwood Ave, Ontario, CA 91762-6346 Ph: (562) 205-6156 | Ms Rosalva Dominguez, LCSW 11731 Telegraph Rd Ste K, Santa Fe Springs, CA 90670-6815 Ph: (562) 907-7429 |
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