Active NPIIndividual providerSole proprietor

Mitchell Douglas, LCSW

Social Worker, Clinical in Skillman, New Jersey

NPI Number1942388269
Practice location
11 Tamarack Cir, Skillman, NJ 08558-2019
Fax
609-279-1359
Last updated
April 6, 2023

Mitchell Douglas is a Social Worker, Clinical based in Skillman, NJ. Mitchell Douglas practices in Skillman, NJ and has the professional credentials of LCSW. The NPI Number for Mitchell Douglas is 1942388269 and holds a License No. SC04824600 (NJ). The current practice location address for Mitchell Douglas is 11 Tamarack Cir, Skillman, NJ 08558-2019 and can be reached out via phone at 609-279-1339 and via fax at 609-279-1359.

Provider Profile Details

NPI Number
1942388269
Provider Name
Mitchell Douglas
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
11 Tamarack Cir, Skillman, NJ 08558-2019
Phone Number
609-279-1339
Fax Number
609-279-1359
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2006
Last Update Date
April 6, 2023
Certification Date
April 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Tamarack Cir
Skillman, NJ 08558-2019
Zip
08558-2019
Phone Number
609-279-1339
Fax Number
609-279-1359
Skillman, NJ 08558Get directions →

Provider Business Mailing Address Details

Address
150 W 96TH St Apt 4D
New York, NY 10025-6443
City
New York
State
NY
Zip
10025-6443
Phone Number
646-499-0936

License Information

License Number
SC04824600
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Mitchell Douglas, LCSW?

The NPI number of Mitchell Douglas, LCSW is 1942388269. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Mitchell Douglas, LCSW?

Mitchell Douglas, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number SC04824600.

Where does Mitchell Douglas, LCSW practice?

The practice location is 11 Tamarack Cir, Skillman, NJ 08558-2019. The office can be reached at 609-279-1339 (phone) or 609-279-1359 (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 1942388269 directly on the NPPES registry website.

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