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

Mr. Robert Dominguez, CLINICALSOCIALWORK

Individual provider Social Worker · NPI 1841954534

Mr. Robert Dominguez, CLINICALSOCIALWORK is a Social Worker in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

41D Edgewater Park
Bronx, NY 10465-3509
Phone: (914) 663-7201
Fax: (914) 663-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 06223601 (NY)

Record details

NPI number1841954534
Entity typeIndividual (Type 1)
GenderMale
Credentials CLINICALSOCIALWORK
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

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