Individual provider · Type 1 NPI
Sean Tyrone Douglas, PhD, LCSW-R
Clinical Social Worker · Glen Cove, NY
Practice location
5 Brewster St Ste 143
Glen Cove, NY 11542-2549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R056802 (NY) |
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 1457370124
Sean Tyrone Douglas, PhD, LCSW-R's National Provider Identifier is 1457370124, issued on Jul 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glen Cove, NY. The record was last updated on Aug 15, 2023.