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

Individual provider Clinical Social Worker · NPI 1811637630

Virgen L Dominguez, LCSW is a Clinical Social Worker in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
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

100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966
Phone: (904) 829-0814
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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 SW12393 (FL)

Record details

NPI number1811637630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

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