Organization
MATT DOMICO LCSW LLC
Active
Organization
MATT DOMICO LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DOMICO LCSW (CEO)
(815) 701-6317
Entity
Organization
Contact information
Practice address
5901 N PROSPECT RD STE 105, PEORIA, IL 61614-4358
(815) 701-6317
Mailing address
5901 N PROSPECT RD STE 105, PEORIA, IL 61614-4358
(815) 701-6317
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up