MICHEL DOUGLAS
NPI 1215309349
Social Worker - Clinical in Fairfield, CA

Active since October 28, 2015
711 JEFFERSON ST STE 203, FAIRFIELD, CA 94533(707) 333-4184 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michel Douglas NPPES

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

MICHEL DOUGLAS (NPI 1215309349) is an individual clinical provider in Fairfield, California, licensed in California (104252) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1215309349
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHEL DOUGLAS
Location Address711 JEFFERSON ST STE 203Fairfield, CA 94533-5556
Mailing AddressPo Box 1802Vallejo, CA 94590-0180 · (510) 877-0687
Sole ProprietorYes
Enumeration DateOctober 28, 2015
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1215309349 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 CA · 104252
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.
711 JEFFERSON ST STE 203, Fairfield, CA 94533

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 Michel Douglas's NPI number?

The NPI number for Michel Douglas is 1215309349. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Michel Douglas located?

Michel Douglas practices at 711 Jefferson St Ste 203, Fairfield, CA 94533. The listed phone number is (707) 333-4184.

What is Michel Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Michel Douglas was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.