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

Mr. Dominic Michael Bastinelli, LSCSW

Individual provider Clinical Social Worker · NPI 1225472285

Mr. Dominic Michael Bastinelli, LSCSW is a Clinical Social Worker in Leavenworth, Kansas. Licensed in Kansas. Registered with an NPI since 2013.

Licensed in
KS
In the registry since
2013

Practice location Address checks out

4101 S 4th St Bldg 160
Leavenworth, KS 66048-5014
Phone: (913) 682-2000
Fax: (913) 758-4149
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 4504 (KS)

Record details

NPI number1225472285
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedApril 22, 2013
Last updated in NPPESMarch 14, 2017

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