Active NPIIndividual provider

Constance Douglas, LCSW

Social Worker in Mount Vernon, New York

NPI Number1376093344
Practice location
11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550-2017
Fax
914-668-2545
Last updated
October 13, 2016

Constance Douglas is a Social Worker based in Mount Vernon, NY. Constance Douglas practices in Mount Vernon, NY and has the professional credentials of LCSW. The NPI Number for Constance Douglas is 1376093344 and holds a License No. 071290 (NY). The current practice location address for Constance Douglas is 11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550-2017 and can be reached out via phone at 914-668-8938 and via fax at 914-668-2545.

Provider Profile Details

NPI Number
1376093344
Provider Name
Constance Douglas
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550-2017
Phone Number
914-668-8938
Fax Number
914-668-2545
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
October 13, 2016
Last Update Date
October 13, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 W Prospect Ave Fl 4
C/O Wjcs
Mount Vernon, NY 10550-2017
Zip
10550-2017
Phone Number
914-668-8938
Fax Number
914-668-2545
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
11 W Prospect Ave Fl 4
C/O Wjcs
Mount Vernon, NY 10550-2017
City
Mount Vernon
State
NY
Zip
10550-2017
Phone Number
914-668-8938
Fax Number
914-668-2545

License Information

License Number
071290
License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Constance Douglas, LCSW?

The NPI number of Constance Douglas, LCSW is 1376093344. It was assigned on October 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Constance Douglas, LCSW?

Constance Douglas, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 071290.

Where does Constance Douglas, LCSW practice?

The practice location is 11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550-2017. The office can be reached at 914-668-8938 (phone) or 914-668-2545 (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 1376093344 directly on the NPPES registry website.

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