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

Miss. Kelly Rae Dominici, LCSW

Individual provider Clinical Social Worker · NPI 1841386059

Miss. Kelly Rae Dominici, LCSW is a Clinical Social Worker in Vancouver, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1601 E Fourth Plain Blvd # V3-SATP
Vancouver, WA 98661-3753
Phone: (503) 237-5296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1841386059
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

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