Stephen Ward Dominick, MSW, LCSW - Medicare Clinical Social Worker in Cody, WY

Stephen Ward Dominick, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cody, Wyoming. His current practice location is 1735 Sheridan Ave, Suite 230, Cody, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 587-8439.

Stephen Ward Dominick is licensed to practice in Wyoming (license number LCSW-187) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962604215.

Contact Information

Stephen Ward Dominick, MSW, LCSW
1735 Sheridan Ave, Suite 230,
Cody, WY 82414-3855
(307) 587-8439
(307) 587-8439



Healthcare Provider's Profile

Full NameStephen Ward Dominick
GenderMale
SpecialitySocial Worker - Clinical
Location1735 Sheridan Ave, Cody, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962604215
  • Provider Enumeration Date: 05/31/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5597065821
  • Enrollment ID: I20151118001713

Medical Identifiers

Medical identifiers for Stephen Ward Dominick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962604215NPI-NPPES
LCSW-187OtherWYLIC. CLINICAL SOCIAL WORK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW-187 (Wyoming)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. Stephen Ward Dominick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephen Ward Dominick, MSW, LCSW
1735 Sheridan Ave, Suite 230,
Cody, WY 82414-3855

Ph: (307) 587-8439
Stephen Ward Dominick, MSW, LCSW
1735 Sheridan Ave, Suite 230,
Cody, WY 82414-3855

Ph: (307) 587-8439

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› Verified 2 days ago


Social Worker in Cody, WY

Ms. Marlynn Annette Riker, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2538 Big Horn Ave, Cody, WY 82414
Phone: 307-587-2197    Fax: 307-527-6218
Amanda Hamilton, CSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2538 Big Horn Ave, Cody, WY 82414
Phone: 307-587-2197    
Demetria Bales, MSW, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 702 Platinum Ave, Cody, WY 82414
Phone: 307-213-9954    Fax: 307-275-9843
Lachelle M Rosenbaum, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2538 Big Horn Ave, Cody, WY 82414
Phone: 307-587-2197    Fax: 307-527-6218
Kristin Alcala, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 424 Yellowstone Ave Ste 220, Cody, WY 82414
Phone: 307-578-2526    
Dean Furukawa,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1211 Rumsey Ave, Cody, WY 82414
Phone: 406-670-2960    
Neisha Potter, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Beck Ave, Cody, WY 82414
Phone: 307-578-7601    

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