Ms. Andrea R Douglass, LICSW
Social Worker, Clinical in Arlington, Massachusetts
1255584462- Practice location
- 1025 Massachusetts Ave, Arlington, MA 02476-4503
- Phone
- 617-615-6353
- Fax
- —
- Last updated
- November 10, 2014
Andrea Race Douglass is a Social Worker, Clinical based in Arlington, MA. Andrea Race Douglass practices in Arlington, MA and has the professional credentials of LICSW. The NPI Number for Andrea Race Douglass is 1255584462 and holds a License No. 116215 (MA). The current practice location address for Andrea Race Douglass is 1025 Massachusetts Ave, Arlington, MA 02476-4503 and can be reached out via phone at 617-615-6353.
Provider Profile Details
- NPI Number
- 1255584462
- Provider Name
- Andrea Race Douglass
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1025 Massachusetts Ave, Arlington, MA 02476-4503
- Phone Number
- 617-615-6353
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 31, 2008
- Last Update Date
- November 10, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1025 Massachusetts Ave
Arlington, MA 02476-4503 - City
- Arlington
- State
- Massachusetts
- Zip
- 02476-4503
- Phone Number
- 617-615-6353
Provider Business Mailing Address Details
- Address
- 1025 Massachusetts Ave
Arlington, MA 02476-4503 - City
- Arlington
- State
- MA
- Zip
- 02476-4503
- Phone Number
- 617-615-6353
License Information
- License Number
- 116215
- License State
- MA
- 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. Andrea R Douglass, LICSW?
The NPI number of Ms. Andrea R Douglass, LICSW is 1255584462. It was assigned on October 31, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Andrea R Douglass, LICSW?
Ms. Andrea R Douglass, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116215.
Where does Ms. Andrea R Douglass, LICSW practice?
The practice location is 1025 Massachusetts Ave, Arlington, MA 02476-4503. The office can be reached at 617-615-6353 (phone).
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 1255584462 directly on the NPPES registry website.