About
Mary Elizabeth Domino (formerly known as Mary Elizabeth Hall) is a Clinical Social Worker in Centreville, Maryland. She graduated in 1991. She has over 16 years of experience. Mary E. Domino is a group member of Corsica River Mental Health Services, Inc.. Contact Mary Elizabeth Domino to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 4183619513
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Gender
Female
Years in Practice
16 years
Healthcare Provider Taxonomy
- Code: 1041C0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
- Specialization: Clinical
Credentials
- Licensed Certified Social Worker - Clinical (LCSW-C)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 35 | 34 |
| 90832 | Psychotherapy, 30 minutes | 282 | 52 |
| 90834 | Psychotherapy, 45 minutes | 258 | 59 |
Group Practices
Group practices this therapist belongs to includes:
| Corsica River Mental Health Services, Inc. | |
|---|---|
| Address | 120 Banjo Ln |
| Centreville, MD 21617-1002 | |
| Group PAC ID | 0941497382 |
| Group Members | 6 |
Licenses
| Name | License Number | State |
|---|---|---|
| LCSW-C | 10791 Verify | MD |
Education
| Year Graduated |
|---|
| 1991 |
Practice Locations
120 Banjo Lane
Centreville, MD 21617
Phone Number: (410) 758-3050
Fax Number: (410) 758-0698
120 Banjo Ln
Centreville, MD 21617-1002
Phone Number: (410) 758-2211
Therapists Near Centreville, MD
