About

Jessica Catherine Dominguez is a Social Worker in Smithtown, New York. She graduated in 2009. She has over 13 years of experience. She is affiliated with Pederson Krag Center. Jessica C. Dominguez is a group member of Psch Inc. Contact Jessica Catherine Dominguez to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 3072733120

Entity Type: Individual; Not Sole Proprietor

Organization Name: Pederson Krag Center

Gender

Female

Years in Practice

13 years

Healthcare Provider Taxonomy

  • Code: 104100000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Licensed Clinical Social Worker (LCSW)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90853 Group psychotherapy 96 11

Group Practices

Group practices this therapist belongs to includes:

Psch Inc
Address 800 Northern Blvd
Great Neck, NY 11021-5340
Group PAC ID 0749179570
Group Members 12

Licenses

Name License Number State
LCSW 080537-1 Verify NY
Social Worker 082105 Verify NY

Education

Year Graduated
2009

Practice Locations

11 Route 111

Smithtown, NY 11787-3712

Phone Number: (631) 920-8300

Fax Number: (631) 920-8460

800 Northern Blvd

Great Neck, NY 11021-5340

Phone Number: (516) 829-9666

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Michele Rotkowitz

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