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

Jennifer Dominguez

Individual provider Clinical Social Worker · NPI 1972931335

Jennifer Dominguez is a Clinical Social Worker in Represa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

100 Prison Rd
Represa, CA 95671-0066
Phone: (916) 985-8610
Fax: (916) 294-3121
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21676 (CA)

Record details

NPI number1972931335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2013
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing addressPo Box 290066, Represa, CA 95671-0066

Other providers in Represa