Individual provider · Type 1 NPI
Miko E. Douglas
Clinical Social Worker · Englewood, NJ
Practice location
61 Grand Ave Ste 1
Englewood, NJ 07631-3599
Fax (201) 541-8100
Mailing address
PO Box 1701
Ossining, NY 10562-0075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1114576287
Miko E. Douglas's National Provider Identifier is 1114576287, issued on Sep 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Englewood, NJ. The record was last updated on Sep 10, 2019.