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

Kristine Dominique, LICSW

Individual provider Clinical Social Worker · NPI 1386706521

Kristine Dominique, LICSW is a Clinical Social Worker in Charlestown, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

4705 Old Post Rd
Charlestown, RI 02813-1819
Phone: (401) 364-7705
Fax: (401) 364-9104
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 ISW01753 (RI)

Record details

NPI number1386706521
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 8, 2007

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