Mrs Dominique Amescua, LMSW, CI is a
Social Worker - Clinical based in Austin, Texas. Mrs Dominique Amescua is licensed to practice in Texas (license number 56594) and her current practice location is
8402 Cross Park Dr, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 697-8665.
NPI number for Mrs Dominique Amescua is 1811232754 and her current mailing address is 8402 Cross Park Dr, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811232754.
Healthcare Provider's Profile
Full Name | Mrs Dominique Amescua |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8402 Cross Park Dr, Austin, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811232754
- Provider Enumeration Date: 12/04/2012
- Last Update Date: 12/04/2012
Medical Identifiers
Medical identifiers for Mrs Dominique Amescua such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811232754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 17559 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 56594 (Texas) | 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. Mrs Dominique Amescua 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 |
Mrs Dominique Amescua, LMSW, CI 8402 Cross Park Dr, Austin, TX 78754-4595 Ph: (512) 697-8665 | Mrs Dominique Amescua, LMSW, CI 8402 Cross Park Dr, Austin, TX 78754-4595 Ph: (512) 697-8665 |
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