Individual provider · Type 1 NPI
Mayra Garcia Douglas, LCSW
Clinical Social Worker · Bloomingdale, IL
Practice location
136 W Lake St Ste 100
Bloomingdale, IL 60108-1064
Mailing address
301 S Walnut Ln
Schaumburg, IL 60193-1004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 150113815 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.030151 (IL) |
| Mental Health Counselor | 101YM0800X | 150.113815 (IL) |
| Clinical Social Worker | 1041C0700X | 150.113815 (IL) |
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 1356172233
Mayra Garcia Douglas, LCSW's National Provider Identifier is 1356172233, issued on Aug 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomingdale, IL. The record was last updated on Nov 6, 2025.