Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DOMINE, LICSW
ActiveNICOLE DOMINE, LICSW is a Clinical Social Worker healthcare provider located in FARGO, North Dakota. NPI 1396280954 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FARGO, ND
Registration Details
- NPI Number
- 1396280954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2017 (9.5648731151605 yrs)
- Last Updated
- Nov 22, 2024
- Licenses
-
23025 (MN)5293 (ND)
Practice Information
- Address
-
4357 13TH AVE S STE 104FARGO, ND, 581037504Browse ND providers · Browse ZIP 58103
- Phone
- 7014784480
- Fax
- 7014784481
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| MRS. IRENE TERESA JOHNSON | MSW, LCSW, LICSW | 1295733319 |
| MRS. MARIA LOUISE BALINTONA | LICSW | 1740270339 |
| LINDA M THOMAS | LICSW | 1194786749 |
| PETER ANTHONY EDWARDS | LICSW | 1659323251 |
| COLEEN R MAY | MSW | 1346280435 |
| DEONNE J VARRIANO | LICSW | 1053348573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.