Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniel Girard-Domena, LCSW

Individual provider Clinical Social Worker · NPI 1760866057

Daniel Girard-Domena, LCSW is a Clinical Social Worker in Saint James, New York. Qualified in 2014, 12 years ago. Practices with Brightside Medical PC, a 62-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

551 N Country Rd
Saint James, NY 11780-1445
Phone: (631) 974-5052
Fax: (631) 739-8965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1760866057
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Brightside Medical Pc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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