MR. JEFFREY DOUGLAS JR. LMSW
NPI 1184116113
Social Worker in Rochester Hills, MI
About Mr. Jeffrey Douglas Jr. Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEFFREY DOUGLAS JR. LMSW (NPI 1184116113) is an individual social worker in Rochester Hills, Michigan, licensed in Michigan (6801114949) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jeffrey Douglas Jr. Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jeffrey Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Auburn Hills, MI 48326
- Reassigned Medicare billing, Michigan enrollment
- 253 clinicians in this Medicare group
Clarkston, MI 48346
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Richard Kneip Phd PC
- 347 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Jeffrey Douglas's NPI number?
The NPI number for Jeffrey Douglas is 1184116113. It was assigned to this individual provider in the NPPES registry on June 5, 2018.
Where is Jeffrey Douglas located?
Jeffrey Douglas practices at 858 Lynhaven Ct, Rochester Hills, MI 48307. The listed phone number is (248) 766-1563.
What is Jeffrey Douglas's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Jeffrey Douglas enrolled in Medicare?
Yes. Jeffrey Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeffrey Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Douglas reassigns Medicare benefits to 2 organizations: Easterseals Morc Health Care, Inc. (Auburn Hills, MI) and Richard Kneip, Ph.D., P.C. (Clarkston, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Douglas accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jeffrey 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 Jeffrey Douglas was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mr. Jeffrey Douglas Jr., LMSW · NPI 1184116113
Social Worker provider in Rochester Hills, Michigan. Individual provider, active in the CMS NPPES registry since June 5, 2018.
## Identity
- **NPI:** 1184116113 (Entity type: Individual)
- **Enumerated:** June 5, 2018
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6801114949 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 858 LYNHAVEN CT, Rochester Hills, MI 48307-3028
- **Phone:** (248) 766-1563
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Easterseals Morc Health Care, Inc. (NPI 1376526616, Auburn Hills, MI); Richard Kneip, Ph.D., P.C. (NPI 1679739700, Clarkston, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1184116113) · Data from the CMS NPPES public registry.