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

Individual provider Clinical Social Worker · NPI 1497962641

Mrs. Roxanne B Dominis, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 1998, 28 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2007
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

2502 N Clark St Ste 218
Chicago, IL 60614-1850
Phone: (312) 375-7428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 715 Lake St Ste 910, Oak Park, IL 60301-1418 — (312) 375-7428

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149011984 (IL)

Record details

NPI number1497962641
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESJanuary 16, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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