MIGDALIA DOMINGUEZ (LICSW) – Clinical Social Worker, NPI 1114472008
Clinical Social Worker
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,310 CLINICAL SOCIAL WORKER in MN
Provider Addresses for MIGDALIA DOMINGUEZ (LICSW)
618 29th Ave N
Minneapolis, MN 554111406
Phone: (612) 279-8677
Type: Location
3425, 75th Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States
BROOKLYN PARK, MN 554433525
Phone: (612) 310-0424
Type: Mailing
Rice Creek Parkway, Shoreview, Ramsey County, Minnesota, 55112, United States
SHOREVIEW, MN 551265037
Phone: (612) 310-0424
Type: Location
1205 OXFORD WAY
COCOA, FL 329226445
Phone: (612) 310-0424
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180601000978 | I | Clinical Social Worker | MN | TBD |
| I20240705000038 | I | Clinical Social Worker | FL | TBD |
| I20240709002759 | I | Clinical Social Worker | TX | TBD |
| I20240715001751 | I | Clinical Social Worker | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MT | |
| Clinical Psychologist | LA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| Nurse Practitioner | FL |
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