JEREMY DOUGLAS (NPI# 1649672627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649672627 |
| Entity Type | Individual |
| Full Name | JEREMY DOUGLAS |
| Practice Address |
320 W 13th St Fl 4 New York NY 10014-1268 |
| Mailing Address |
57 Willoughby St Fl 2 Brooklyn NY 11201-5290 |
| Practice Telephone | 2126458111 |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001156 | Jeremy Douglas | Counselor | 2915 S Burleson Blvd, Burleson, TX 76028-1878 | 2019-09-05 |
| Street Address |
320 W 13TH ST FL 4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10014-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134546567 | Erin Lynne Connolly | Registered Nurse | 320 W 13th St Fl 4, New York, NY 10014-1268 | 2014-03-24 |
| 1942554209 | Housing Works Services II, Inc. | Clinic/Center | 320 W 13th St Fl 4, New York, NY 10014-1268 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1093271710 | Little Smiles Pediatric Dentistry, Pllc | Dentist | 535 Hudson Street 1c, Apt #3g, New York, NY 10014 | 2019-02-19 |
| 1528539525 | David R Schoenberger | Psychoanalyst | 27 West 12th Street, Apt 1-c, New York, NY 10014 | 2018-12-17 |
| 1932670270 | Paul Scoles | Orthopaedic Surgery | 27o W 11th, 6f, New York, NY 10014 | 2018-12-16 |
| 1831633965 | Carol Bonhomme | Speech-Language Pathologist | 250 West Houston Street, 721m, New York, NY 10014 | 2016-12-08 |
| 1346783016 | Dawn Julie Adamousky | Speech-Language Pathologist | 450 Hudson Street, New York, NY 10014 | 2016-11-29 |
| 1578922472 | Samriti Goyal | Dentist | 44 Perry St Apt 5r, New York, NY 10014 | 2016-02-19 |
| 1255734471 | Chavie E Lichtenberg | Counselor | 165 Christopher St Apt 4n, New York, NY 10014 | 2014-10-01 |
| 1699015180 | Meghan C Ward | Counselor | 27 Christopher Street, New York, NY 10014 | 2013-02-21 |
| 1730467739 | Rosy Charles | Licensed Practical Nurse | 201 Varick Street, New York, NY 10014 | 2011-07-26 |
| Find all providers in zip 10014 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.