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

Dominick Albert Roe

Individual provider Clinical Social Worker · NPI 1063175297

Dominick Albert Roe is a Clinical Social Worker in Wilmington, North Carolina. Qualified in 2020, 6 years ago. Practices with Pride in North Carolina LLC, a 34-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

5710 Oleander Dr Ste 112
Wilmington, NC 28403-4722
Phone: (910) 769-1785
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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 · Licence C016049 (NC)

Record details

NPI number1063175297
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2021
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

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 Pride In North Carolina Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington