National Provider Identifier
Dominique M Wilcox, SOCIAL WORK
Dominique M Wilcox, SOCIAL WORK is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 410-3370.
Source: public NPPES record, last updated March 26, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1821848284
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 26, 2024
- Last Updated
- March 26, 2024
Practice Location
- 175 N Winton RD
- Rochester, NY 14610-1936
Phone: (585) 410-3370
Mailing Address
- 28 Bardin St
- Rochester, NY 14615-3520
Specialties
- Mental Health Counselor (101YM0800X)
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Full Record
- NPI
- 1821848284
- Entity Type
- Individual
- Last Name
- Wilcox
- First Name
- Dominique
- Middle Name
- M
- Name Prefix
- Mrs.
- Credential
- SOCIAL WORK
- Provider Other Last Name
- Peterson
- Provider Other First Name
- Dominique
- Provider Other Middle Name
- M
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 28 Bardin St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-3520
- Mailing Country
- US
- Mailing Phone
- (585) 957-8646
- Practice Street Address
- 175 N Winton RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14610-1936
- Practice Country
- US
- Practice Phone
- (585) 410-3370
- Practice Fax
- (585) 978-7217
- Enumeration Date
- March 26, 2024
- Last Updated
- March 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)