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

Dr. Peter Dedominici, LSW

Individual provider Social Worker · NPI 1649923442

Dr. Peter Dedominici, LSW is a Social Worker in Fairborn, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

188 W Hebble Ave
Fairborn, OH 45324-4960
Phone: (937) 754-5911
Fax: (999) 999-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence S0029122 (OH)

Record details

NPI number1649923442
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

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