MR. JEFFREY DOUGLAS JR. LMSW
NPI 1184116113
Social Worker in Rochester Hills, MI

Q: 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.

Q: What is Jeffrey Douglas's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: 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 11 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.

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

858 LYNHAVEN CT, ROCHESTER HILLS, MI 48307(248) 766-1563 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2025, May 22, 2023, May 20, 2023 and 3 more (6 updates tracked since 2022).

On this page

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

NPI1184116113

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. JEFFREY DOUGLAS JR.Credential: LMSW

Location Address858 LYNHAVEN CTRochester Hills, MI 48307-3028

Mailing Address858 Lynhaven CtRochester Hills, MI 48307-3028 · (248) 766-1563

Phone(248) 766-1563

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 5, 2018

Last NPPES UpdateSeptember 1, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2025

✔ NPI 1184116113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801114949

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

858 LYNHAVEN CT, Rochester Hills, MI 48307

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 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.

PECOS PAC ID7719369313

PECOS Enrollment IDI20220728002900

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

100

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.

What insurance does Jeffrey Douglas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan 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 11 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.