Beth A Domingue, LCSW is a
Social Worker - Clinical based in Culver City, California. Beth A Domingue is licensed to practice in California (license number 85661) and her current practice location is
9808 Venice Blvd Ste 700, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 945-3350.
NPI number for Beth A Domingue is 1649504465 and her current mailing address is 9808 Venice Blvd Ste 700, Culver City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649504465.
Healthcare Provider's Profile
| Full Name | Beth A Domingue |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 9808 Venice Blvd Ste 700, Culver City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649504465
- Provider Enumeration Date: 09/25/2009
- Last Update Date: 09/10/2018
Medical Identifiers
Medical identifiers for Beth A Domingue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649504465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 32872 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 85661 (California) | 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. Beth A Domingue 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 |
|---|
Beth A Domingue, LCSW
9808 Venice Blvd Ste 700,
Culver City, CA 90232-6824
Ph: (310) 945-3350 | Beth A Domingue, LCSW
9808 Venice Blvd Ste 700,
Culver City, CA 90232-6824
Ph: (310) 945-3350 |
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