Provider Demographics
NPI:1174492938
Name:DOMINGUEZ, ERIN ASHLYNN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ASHLYNN
Last Name:DOMINGUEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ASHLYNN
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:421 SWEET LEAF LN
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7958
Mailing Address - Country:US
Mailing Address - Phone:972-639-6496
Mailing Address - Fax:
Practice Address - Street 1:421 SWEET LEAF LN
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7958
Practice Address - Country:US
Practice Address - Phone:972-639-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical