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

Dominique Carrillo

Individual provider Clinical Social Worker · NPI 1174487482

Dominique Carrillo is a Clinical Social Worker in Tucson, Arizona. Qualified in 2021, 5 years ago. Practices with Escalera Health LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2224 N Craycroft Rd Ste 100
Tucson, AZ 85712-2811
Phone: (520) 201-0730
Fax: (520) 614-6050
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23475 (AZ)

Record details

NPI number1174487482
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Escalera Health Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tucson