Provider Demographics
NPI:1770866964
Name:SEKULSKA, DOMINIKA (LCSW, CADC)
Entity Type:Individual
Prefix:MS
First Name:DOMINIKA
Middle Name:
Last Name:SEKULSKA
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:DOMINIKA
Other - Middle Name:
Other - Last Name:SEKULSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10537 SOUTH ROBERTS ROAD
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465
Mailing Address - Country:US
Mailing Address - Phone:708-974-2300
Mailing Address - Fax:708-974-2498
Practice Address - Street 1:10537 SOUTH ROBERTS ROAD
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465
Practice Address - Country:US
Practice Address - Phone:708-974-2300
Practice Address - Fax:708-974-2498
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL30090101YA0400X
104100000X
IL149-0163231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker