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

MR. EMERSON LEE DOUGLAS LISW
NPI 1235780016
Social Worker - Clinical in Pepper Pike, OH

Active since September 24, 2019
30800 CHAGRIN BLVD, PEPPER PIKE, OH 44124(216) 591-0324(216) 591-1243 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2020, Sep 24, 2019 (2 updates tracked since 2019).

About Mr. Emerson Lee Douglas Lisw NPPES

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

MR. EMERSON LEE DOUGLAS LISW (NPI 1235780016) is an individual clinical provider in Pepper Pike, Ohio, licensed in Ohio (I.2002146) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1235780016
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EMERSON LEE DOUGLASCredential: LISW
Location Address30800 CHAGRIN BLVDPepper Pike, OH 44124-5925
Mailing Address9220 Mentor AveMentor, OH 44060-6412 · (440) 354-9924 · Fax (833) 209-8465
Phone(216) 591-0324
Fax(216) 591-1243
Sole ProprietorYes
Enumeration DateSeptember 24, 2019
Last NPPES UpdateMay 5, 20202 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1235780016 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 · I.2002146
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.
30800 CHAGRIN BLVD, Pepper Pike, OH 44124
Open in Google Maps ↗

Other Identifiers 1

Medicaid2864093OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

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.

NEW DIRECTIONS, INC.
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
30800 CHAGRIN BLVD
CLEVELAND, OH 44124
Cuyahoga County (216) 591-0324
JOSEPH TADIELLO LCDC III
Counselor (Addiction (Substance Use Disorder))
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 591-0324
MR. SCOTT MONROE INMAN
Community/Behavioral Health
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 591-0324
BRITTANY LYNN MYLANT
Behavior Technician
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 591-0324
CAMERON MURPHY
Community/Behavioral Health
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 591-0324
SUSAN TAGER LSW
Social Worker
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 591-0324
HARRY KELLER CDCA.070588
Counselor (Addiction (Substance Use Disorder))
30800 CHAGRIN BLVD
CLEVELAND, OH 44124
Cuyahoga County (216) 591-0324
JAMES MCCANN III
Counselor (Addiction (Substance Use Disorder))
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124
Cuyahoga County (216) 591-0324

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 Emerson Douglas's NPI number?

The NPI number for Emerson Douglas is 1235780016. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Emerson Douglas located?

Emerson Douglas practices at 30800 Chagrin Blvd, Pepper Pike, OH 44124. The listed phone number is (216) 591-0324.

What is Emerson Douglas's specialty?

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

What insurance does Emerson Douglas accept?

Health plans from MedMutual list Emerson 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 Emerson Douglas was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.