Ms Susan Arleen Domine, LCSW - in Apo, AE

Ms Susan Arleen Domine, LCSW is a Military Health Care Provider based in Apo, Armed Forces Europe. Ms Susan Arleen Domine is licensed to practice in Georgia (license number CSW003507) and her current practice location is Unit 33100, Apo, Armed Forces Europe. She can be reached at her office (for appointments etc.) via phone at (314) 590-1177.

NPI number for Ms Susan Arleen Domine is 1639231608 and her current mailing address is Landstuhl Regional Medical Center Cmr 402, Apo, Armed Forces Europe. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639231608.

Contact Information

Ms Susan Arleen Domine, LCSW
Unit 33100,
Apo, AE 09180-3100
(314) 590-1177
Not Available



Healthcare Provider's Profile

Full NameMs Susan Arleen Domine
GenderFemale
SpecialityMilitary Health Care Provider
LocationUnit 33100, Apo, Armed Forces Europe
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639231608
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 05/31/2023

Medical Identifiers

Medical identifiers for Ms Susan Arleen Domine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639231608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW003507 (Georgia)Secondary
171000000XMilitary Health Care Provider CSW003507 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan Arleen Domine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Susan Arleen Domine, LCSW
Landstuhl Regional Medical Center Cmr 402,
Apo, AE 09180

Ph: (637) 186-8590
Ms Susan Arleen Domine, LCSW
Unit 33100,
Apo, AE 09180-3100

Ph: (314) 590-1177

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