Ms Susan Arleen Domine, LCSW is a
Military Health Care Provider based in Apo, Armed Forces Europe. Ms Susan Arleen Domine is licensed to practice in Georgia (license number CSW003507) and her current practice location is
Unit 33100, Apo, Armed Forces Europe. She can be reached at her office (for appointments etc.) via phone at
(314) 590-1177.
NPI number for Ms Susan Arleen Domine is 1639231608 and her current mailing address is Landstuhl Regional Medical Center Cmr 402, Apo, Armed Forces Europe. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639231608.
Healthcare Provider's Profile
Full Name | Ms Susan Arleen Domine |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | Unit 33100, Apo, Armed Forces Europe |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639231608
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 05/31/2023
Medical Identifiers
Medical identifiers for Ms Susan Arleen Domine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639231608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW003507 (Georgia) | Secondary |
171000000X | Military Health Care Provider | CSW003507 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan Arleen Domine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Susan Arleen Domine, LCSW Landstuhl Regional Medical Center Cmr 402, Apo, AE 09180 Ph: (637) 186-8590 | Ms Susan Arleen Domine, LCSW Unit 33100, Apo, AE 09180-3100 Ph: (314) 590-1177 |
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