1. Home
  2. Directory
  3. New York
  4. Fishkill
  5. Social Worker
  6. NPI Profile

R KEVIN DOUGLAS LCSW CASAC
NPI 1124366505
Social Worker - Clinical in Fishkill, NY

Active since January 20, 2013
1073 MAIN ST STE 202A, FISHKILL, NY 12524(914) 475-4083 Get Directions Write a Review

NPPES record last updated: January 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About R Kevin Douglas Lcsw Casac NPPES

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

R KEVIN DOUGLAS LCSW CASAC (NPI 1124366505) is an individual clinical provider in Fishkill, New York, licensed in New York (73 080102) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1124366505
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameR KEVIN DOUGLASCredential: LCSW CASAC
Location Address1073 MAIN ST STE 202AFishkill, NY 12524-3513
Mailing Address1073 Main St Ste 202aFishkill, NY 12524-3513 · (914) 475-4083
Phone(914) 475-4083
Sole ProprietorYes
Enumeration DateJanuary 20, 2013
✔ NPI 1124366505 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 NY · 73 080102
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.
1073 MAIN ST STE 202A, Fishkill, NY 12524
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

PROF. PAULA A VAN AKEN R.D.
Dietitian, Registered
1073 MAIN ST STE 202A
FISHKILL, NY 12524
Dutchess County (845) 896-2238

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 R Douglas's NPI number?

The NPI number for R Douglas is 1124366505. It was assigned to this individual provider in the NPPES registry on January 20, 2013.

Where is R Douglas located?

R Douglas practices at 1073 Main St Ste 202A, Fishkill, NY 12524. The listed phone number is (914) 475-4083.

What is R Douglas's specialty?

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

What insurance does R Douglas accept?

Health plans from Providence Health Plan list R 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 R Douglas was last updated on January 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.