Provider Demographics
NPI:1497422687
Name:DOMINGO, MA ALAINA TRINIDAD (MSW)
Entity type:Individual
Prefix:
First Name:MA ALAINA
Middle Name:TRINIDAD
Last Name:DOMINGO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-2418
Mailing Address - Country:US
Mailing Address - Phone:916-210-8773
Mailing Address - Fax:
Practice Address - Street 1:3301 37TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-2418
Practice Address - Country:US
Practice Address - Phone:916-210-8773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker