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

Mrs. Dominique Dijkhuizen, LCSW

Individual provider Adult Mental Health Clinic/Center · NPI 1689148397

Mrs. Dominique Dijkhuizen, LCSW is an Adult Mental Health Clinic/Center in Southern Pines, North Carolina. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2019
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

101 Lanark Trl
Southern Pines, NC 28387-7513
Phone: (719) 270-1722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence 1689148397 (CO)

Record details

NPI number1689148397
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

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