Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Dominguez, LICENSEDSOCIALWORK

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831803444

Christopher Dominguez, LICENSEDSOCIALWORK is a Clinical Social Worker in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Erie Family Health Center, Inc, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1701 W Superior St
Chicago, IL 60622-5646
Phone: (312) 666-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 708 Church St Ste 247, Evanston, IL 60201-3840 — (773) 357-6152

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.025775 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37399 (IL)

Record details

NPI number1831803444
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDSOCIALWORK
Sole proprietorYes
NPI enumeratedJanuary 9, 2023
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Erie Family Health Center, Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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