Individual provider · Type 1 NPI

Douglas Mark Shine, L.C.S.W.

Clinical Social Worker · St. Johns, FL

NPI number 1992821201 Active

Practice location

1705 Duck Water Ct
St. Johns, FL 32259-5247

Call (904) 287-3122 Map

Fax (904) 287-3122

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW0001447 (FL)

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 1992821201

Douglas Mark Shine, L.C.S.W.'s National Provider Identifier is 1992821201, issued on Mar 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Johns, FL. The record was last updated on Sep 10, 2012.