Individual provider · Type 1 NPI

Elizabeth Ann Douglas, MSW

Clinical Social Worker · Hines, IL

NPI number 1154378081 Active

Practice location

Roosevelt &5TH Ave.
Hines, IL 60141

Mailing address

6648 N Newgard Ave, #2
Chicago, IL 60626-4712

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 1154378081

Elizabeth Ann Douglas, MSW's National Provider Identifier is 1154378081, issued on May 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hines, IL. The record was last updated on Jul 13, 2026.