Individual provider · Type 1 NPI

Kendall Douville

Clinical Social Worker · Columbia, MD

NPI number 1982201125 Active

Practice location

5410 Lynx Ln Ste 285
Columbia, MD 21044-2483

Call (107) 403-2404 Map

Fax (617) 807-0958

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21580 (MD)

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 1982201125

Kendall Douville's National Provider Identifier is 1982201125, issued on Oct 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MD. The record was last updated on Oct 1, 2020.