Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174717060 Individual Practitioner Female Practitioner

Deborah L. Dominick , MSW, LCSW

Specialist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Deborah Dominick, MSW, LCSW is a registered healthcare professional specializing in Specialist in Phoenix, AZ. Practice services are available at 5777 E MAYO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5777 E Mayo Blvd

Phoenix, AZ 850544502

Telephone 4803422739
Associated Practice Facility / Clinic
🏢 Mayo Clinic Arizona Facility NPI 1154392231

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.2 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ LCSW-11931

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Meagan Tibbo , MD

Orthopaedic Surgery

NPI 1003270687

Doctor of Medicine (M.D.)

Amy Brown , PA-C

Physician Assistant

NPI 1003527011

Physician Assistant (Certified)

Kristina Yancey

Radiology - Diagnostic Radiology

NPI 1003557935
NPI 1003565227

Licensed Master Social Worker

Kassandra Hyde , APRN

Clinical Nurse Specialist

NPI 1003689720

Advanced Practice Registered Nurse

Dr. Diana Bui , MD

Emergency Medicine

NPI 1003890872

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2007

Registered at 5777 E MAYO BLVD, PHOENIX, AZ 850544502 (Tel: 4803422739)

📍
Updated Business Mailing Address September 04, 2007

Registered at 5777 E. MAYO BOULEVARD, PHOENIX, AZ 85054 (Tel: 4803422739)

👤
Provider Name / Credentials Updated September 04, 2007

Recorded as DEBORAH DOMINICK, MSW, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Specialist (License #LCSW-11931 in AZ)

🟢
Initial NPI Registration & Enumeration September 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174717060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2007
Last Update: September 04, 2007
Sole Proprietor: No

Mailing Address

5777 E. Mayo Boulevard

Phoenix, AZ 85054

Phone: 4803422739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.