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

MS. Dominique Shantelle Pritchett, LCSW

Individual provider Clinical Social Worker · NPI 1356605323

MS. Dominique Shantelle Pritchett, LCSW is a Clinical Social Worker in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
Specialties on file
2
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

4536 22nd Ave
Kenosha, WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
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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 7981-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 128010-121 (WI)

Record details

NPI number1356605323
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 25, 2012
Last updated in NPPESJanuary 30, 2013

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