Ms. Miko E Douglas
Social Worker, Clinical in Englewood, New Jersey
1114576287- Practice location
- 61 Grand Ave Ste 1, Englewood, NJ 07631-3599
- Phone
- 201-541-8600
- Fax
- 201-541-8100
- Last updated
- September 10, 2019
Miko E Douglas is a Social Worker, Clinical based in Englewood, NJ. Miko E Douglas practices in Englewood, NJ. The NPI Number for Miko E Douglas is 1114576287. The current practice location address for Miko E Douglas is 61 Grand Ave Ste 1, Englewood, NJ 07631-3599 and can be reached out via phone at 201-541-8600 and via fax at 201-541-8100.
Provider Profile Details
- NPI Number
- 1114576287
- Provider Name
- Miko E Douglas
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 61 Grand Ave Ste 1, Englewood, NJ 07631-3599
- Phone Number
- 201-541-8600
- Fax Number
- 201-541-8100
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 10, 2019
- Last Update Date
- September 10, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Grand Ave Ste 1
Englewood, NJ 07631-3599 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-3599
- Phone Number
- 201-541-8600
- Fax Number
- 201-541-8100
Provider Business Mailing Address Details
- Address
- Po Box 1701
Ossining, NY 10562-0075 - City
- Ossining
- State
- NY
- Zip
- 10562-0075
- Phone Number
- 914-384-9852
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Miko E Douglas?
The NPI number of Ms. Miko E Douglas is 1114576287. It was assigned on September 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Ms. Miko E Douglas?
Ms. Miko E Douglas is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Ms. Miko E Douglas practice?
The practice location is 61 Grand Ave Ste 1, Englewood, NJ 07631-3599. The office can be reached at 201-541-8600 (phone) or 201-541-8100 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114576287 directly on the NPPES registry website.