Individual provider · Type 1 NPI

Vanesse Douglas

Clinical Social Worker · Bronx, NY

NPI number 1003422445 Active

Practice location

2960 Grand Concourse Apt 3C
Bronx, NY 10458-1905

Mailing address

595 Mclean Ave Apt 6A
Yonkers, NY 10705-4649

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1003422445

Vanesse Douglas's National Provider Identifier is 1003422445, issued on Sep 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Sep 21, 2020.