MR. MATTHEW DAVID DOMICO (MSW, LCSW) – Clinical Social Worker, NPI 1790999191

MR. MATTHEW DAVID DOMICO (MSW, LCSW) is a healthcare provider. based in Peoria, Illinois. specializing in Clinical Social Worker. They hold the professional credentials MSW, LCSW. They hold a License No. 149013431 (IL). The NPI Number for MR. MATTHEW DAVID DOMICO (MSW, LCSW) is 1790999191

Main info

Male
Name
MR. MATTHEW DAVID DOMICO (MSW, LCSW)
NPI
1790999191
Phone
(815) 701-6317
Address
712 E WAR MEMORIAL DR
Enumeration Date
9 May 2007
Last Update Date
31 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. MATTHEW DAVID DOMICO (MSW, LCSW)

  • 712 E WAR MEMORIAL DR

    PEORIA, IL 616167548

    Phone: (815) 701-6317

    Type: Location

  • Phelps Avenue, Romeoville, Will County, Illinois, 60446, United States

    ROMEOVILLE, IL 604461388

    Phone:

    Type: Mailing

  • 5901 N PROSPECT RD STE 105

    PEORIA, IL 616144358

    Phone: (815) 701-6317

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61616)

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Reviews

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Frequently asked questions

Does MR. MATTHEW DAVID DOMICO (MSW, LCSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. MATTHEW DAVID DOMICO (MSW, LCSW) uses 1790999191.
Does the file indicate MR. MATTHEW DAVID DOMICO (MSW, LCSW) is practicing under active NPI?
Directory data currently reports MR. MATTHEW DAVID DOMICO (MSW, LCSW) as active.
What is MR. MATTHEW DAVID DOMICO (MSW, LCSW)'s specialty?
The listing groups MR. MATTHEW DAVID DOMICO (MSW, LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MATTHEW DAVID DOMICO (MSW, LCSW)?
MR. MATTHEW DAVID DOMICO (MSW, LCSW)'s geographic hint is Peoria, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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