NPI 1154030435 · live from the CMS NPI Registry
Dominique Aiwinnilomo
Social Worker in Hartford, CT. National Provider Identifier 1154030435, active.
NPI record
| NPI | 1154030435 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 330 Market St, Hartford, CT 06120 |
| Practice phone | 860-761-7908 |
| Mailing address | 37 Margaret Rd, Manchester, CT 06042 |
| Enumerated | November 16, 2022 |
| Last updated | November 23, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.