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Dominique Shabazz

  • Middletown, CT
  • Clinical social worker
NPI1154808855
Medical group
1
State license
1
Year NPI issued
2018
Practice address
575 Main St, Middletown, CT 06457
Professional email
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Personal email
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Mobile number
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Social profiles

Medical group

Connecticut Valley Hospital

Middletown, Connecticut

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Dominique Shabazz is a clinical social worker in Middletown, Connecticut

Dominique Shabazz practices with Connecticut Valley Hospital, a medical group.

Dominique Shabazz's NPI, 1154808855, was assigned on July 25, 2018. Dominique Shabazz holds Connecticut license 101973.

NPI and contact details
NPI
1154808855NPI Registry (opens in a new tab)
NPI enumeration date
July 25, 2018
NPI status
Active
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Dominique Shabazz's practice address is in Middletown, Connecticut

Dominique Shabazz's practice address in the NPI Registry is 575 Main St, Middletown, CT 06457, in Lower Ct River Vly County.

  • NPI Registry address
    575 Main St, Middletown, CT 06457 · Lower Ct River Vly County

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dominique Shabazz is affiliated with 1 medical group

Dominique Shabazz is part of Connecticut Valley Hospital, a medical group in Middletown, Connecticut.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dominique Shabazz's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dominique Shabazz practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Connecticut Valley HospitalAvailable with a free account

Source: Dmand AI Technology Install Data

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Dominique Shabazz is one of 2,962 clinical social workers in Connecticut

Social worker is Dominique Shabazz's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Dominique Shabazz is licensed in Connecticut.

Specialties and state licenses

  • Clinical social worker, ConnecticutPrimaryLicense 101973 · taxonomy 1041C0700X

Clinical social workers near Dominique Shabazz

Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.

2,962clinical social workers in Connecticut158clinical social workers in Middletown245clinical social workers at Connecticut Valley Hospital

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dominique Shabazz's patients have a median age of 30

Across all payers, Dmand AI patient panel data puts Dominique Shabazz's median patient age at 30, with 100% women.

Dominique Shabazz's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 30

Patient panel by sex, all payers

  • Women100%
  • Men0%

Source: Dmand AI Patient Panel Data

Sources for Dominique Shabazz's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dominique Shabazz

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dominique Shabazz's NPI number?

Dominique Shabazz's NPI number is 1154808855. It was assigned on July 25, 2018, and it is active in the NPI Registry.

What does Dominique Shabazz specialize in?

Dominique Shabazz is a clinical social worker in Middletown, Connecticut. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).

Where does Dominique Shabazz practice?

Dominique Shabazz practices at 575 Main St, Middletown, CT 06457. Dominique Shabazz's primary practice is Connecticut Valley Hospital, a medical group.

What is Dominique Shabazz's medical license number?

Dominique Shabazz holds Connecticut license 101973.

What medical group is Dominique Shabazz part of?

Dominique Shabazz is part of Connecticut Valley Hospital in Middletown, Connecticut.

How long has Dominique Shabazz been practicing?

Dominique Shabazz's NPI was assigned in 2018.

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