Individual provider · Type 1 NPI
Roy Douglas
Clinical Social Worker · Modesto, CA
Practice location
1235 Mcherney, A And B
Modesto, CA 95350-9411
Mailing address
1212 N California St
Stockton, CA 95202-1552
Other practice locations
- 1212 N California St, Stockton, CA 95202-1552 · (209) 468-8686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 1041C0700X. (CA) |
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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- Diana Faith Kigenyi, LCSWClinical Social Worker Modesto, CA NPI 1013387844
- Shamerin Bourang, LCSWClinical Social Worker Modesto, CA NPI 1013459874
- Athena HerreraClinical Social Worker Modesto, CA NPI 1013611185
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About NPI 1407229248
Roy Douglas's National Provider Identifier is 1407229248, issued on Nov 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jan 9, 2024.