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

Dominique Davi Juarez, LCSW-39611

Individual provider Clinical Social Worker · NPI 1871965533

Dominique Davi Juarez, LCSW-39611 is a Clinical Social Worker in Caldwell, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

314 Badiola St
Caldwell, ID 83605-4389
Phone: (208) 454-8389
Show map & directions

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

Additional practice locations (1)

  • 8950 W Emerald St, Boise, ID 83704-4854 — (208) 376-7083

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-39611 (ID)

Record details

NPI number1871965533
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-39611
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

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