Individual provider · Type 1 NPI

Kathleen Macdougall, LICSW

Clinical Social Worker · Port Charlotte, FL

NPI number 1194130955 Active

Practice location

111 Bedford Dr NE
Port Charlotte, FL 33952-8106

Other practice locations

  • 10 Surfside Ave Apt F, Winthrop, MA 02152-2537 · (978) 821-8160

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLICSW123081 (MA)
Social Worker 104100000X119488 (FL)
Clinical Social Worker Primary 1041C0700X116441 (MA)

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 1194130955

Kathleen Macdougall, LICSW's National Provider Identifier is 1194130955, issued on Jun 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Charlotte, FL. The record was last updated on Jan 3, 2025.