Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Matthew David Domico, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1790999191

Mr. Matthew David Domico, MSW, LCSW is a Clinical Social Worker in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

712 E War Memorial Dr
Peoria, IL 61616-7548
Phone: (815) 701-6317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149013431 (IL)

Record details

NPI number1790999191
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESAugust 31, 2025
Certification dateAugust 31, 2025

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