Individual provider · Type 1 NPI
Angela Jo Douglass, LLMSW
Clinical Social Worker · Jenison, MI
Practice location
1354 Baldwin St
Jenison, MI 49428-8937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6851120816 |
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 1871444604
Angela Jo Douglass, LLMSW's National Provider Identifier is 1871444604, issued on Feb 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jenison, MI. The record was last updated on Feb 6, 2026.