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

Individual provider Clinical Social Worker · NPI 1700204856

Donna Domenicucci, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

411 Chandler St
Worcester, MA 01602-3339
Phone: (508) 799-0688
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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 105469 (MA)

Record details

NPI number1700204856
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESApril 4, 2014

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