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Individual
DOMINIQUE KALATA
Active
Individual
DOMINIQUE KALATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW; LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096741
NY
1041C0700X
Clinical Social Worker
127971
MA
1041C0700X
Clinical Social Worker
130938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096741
NYSED OFFICE OF THE PROFESSIONS
NY
01
—
127971
ASSOCIATION OF SOCIAL WORK BOARDS FOR THE MASSACHUSETTS BOARD
MA
01
—
130938
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
07/20/2016
Last updated
08/26/2025
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