Individual provider · Type 1 NPI

Jonaysha Douglas

Clinical Social Worker · Bolivia, NC

NPI number 1255001004 Active

Practice location

3972 Old Ocean Hwy
Bolivia, NC 28422

Mailing address

588 Randolphville Rd NE
Bolivia, NC 28422-8858

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023984 (NC)

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 1255001004

Jonaysha Douglas's National Provider Identifier is 1255001004, issued on Sep 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bolivia, NC. The record was last updated on Aug 5, 2026.