Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW DAVID DOMICO, MSW, LCSW
ActiveMR. MATTHEW DAVID DOMICO, MSW, LCSW is a Clinical Social Worker healthcare provider located in PEORIA, Illinois. NPI 1790999191 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PEORIA, IL
Registration Details
- NPI Number
- 1790999191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (19.245190174688 yrs)
- Last Updated
- Aug 31, 2025
- License
-
149013431 (IL)
Practice Information
- Address
-
712 E WAR MEMORIAL DRPEORIA, IL, 616167548Browse IL providers · Browse ZIP 61616
- Phone
- 8157016317
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DIANE M BITTLE | MSW.,LCSW | 1710957550 |
| MR. BRADLEY ALLEN POST | LCSW | 1821069725 |
| JAMES M HERR | LCSW | 1851363675 |
| MARY C BRUELL | LCSW | 1659345007 |
| MS. JULIE A DIBERNARDINO-DOEDEN | LCSW | 1316901168 |
| MS. NANCY A AMOS-SCHULTE | LICENSED CLINICAL SO | 1255396909 |
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.