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

Individual provider Social Worker · NPI 1104549559

Roxanne Domenech, LCSW is a Social Worker in Jamaica, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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

9027 Sutphin Blvd
Jamaica, NY 11435-3647
Phone: (718) 799-6441
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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 095775 (NY)
Social Worker Taxonomy 104100000X · Licence 092523 (NY)

Record details

NPI number1104549559
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESJuly 16, 2023
Certification dateJuly 16, 2023

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