Individual provider · Type 1 NPI

Jeffrey Douglass

Clinical Social Worker · Coeur D Alene, ID

NPI number 1669647863 Active

Practice location

613 S Dollar St
Coeur D Alene, ID 83814-3828

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-1207 (ID)

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 1669647863

Jeffrey Douglass's National Provider Identifier is 1669647863, issued on Apr 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 28, 2008.