1. Home
  2. Directory
  3. Ohio
  4. Kent
  5. Social Worker
  6. NPI Profile

MS. DINA MARIE DOUGLAS LISW-S
NPI 1023500691
Social Worker - Clinical in Kent, OH

Active since May 30, 2018PECOS Enrolled
143 GOUGLER AVE, KENT, OH 44240(330) 677-4124 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Dina Marie Douglas Lisw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DINA MARIE DOUGLAS LISW-S (NPI 1023500691) is an individual clinical provider in Kent, Ohio, licensed in Ohio (I9747SUPV) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023500691
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DINA MARIE DOUGLASCredential: LISW-S
Location Address143 GOUGLER AVEKent, OH 44240-2401
Mailing Address407 High StKent, OH 44240-3803 · (330) 310-3164
Phone(330) 677-4124
Sole ProprietorYes
Enumeration DateMay 30, 2018
✔ NPI 1023500691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I9747SUPV
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
143 GOUGLER AVE, Kent, OH 44240
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dina Marie Douglas Lisw-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA CROSLEY CDCA
Case Manager/Care Coordinator
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 296-2384
NAHJA CHESNEY
Case Manager/Care Coordinator
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
LYDIA MAE AVERY PHARMD
Pharmacist
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 785-2054
MARINA JEAN MICELI LPCC
Counselor (Professional)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
MARIA ROSATI FNP-C
Nurse Practitioner (Family)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 673-1016
MR. JOSEPH J ZIARKO LICDC
Counselor (Addiction (Substance Use Disorder))
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
SARAH ROBINSON LPC
Counselor (Professional)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
ANDREW JAMES TELSHAW
Counselor (Addiction (Substance Use Disorder))
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 673-1016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dina Douglas's NPI number?

The NPI number for Dina Douglas is 1023500691. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Dina Douglas located?

Dina Douglas practices at 143 Gougler Ave, Kent, OH 44240. The listed phone number is (330) 677-4124.

What is Dina Douglas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dina Douglas enrolled in Medicare?

Yes. Dina Douglas is registered in the Medicare PECOS enrollment system.

What insurance does Dina Douglas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Molina Healthcare and 1 other insurer list Dina Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dina Douglas was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.