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JONAYSHA DOUGLAS
NPI 1255001004
Social Worker - Clinical in Bolivia, NC

Active since September 14, 2021
3972 OLD OCEAN HWY, BOLIVIA, NC 28422(910) 368-6739 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Sep 14, 2021 (2 updates tracked since 2021).

About Jonaysha Douglas NPPES

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

JONAYSHA DOUGLAS (NPI 1255001004) is an individual clinical provider in Bolivia, North Carolina, licensed in North Carolina (P023984) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1255001004
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJONAYSHA DOUGLAS
Location Address3972 OLD OCEAN HWYBolivia, NC 28422
Mailing Address588 Randolphville Rd NeBolivia, NC 28422-8858 · (910) 471-8049
Phone(910) 368-6739
Sole ProprietorYes
Enumeration DateSeptember 14, 2021
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1255001004 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 NC · P023984
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.
3972 OLD OCEAN HWY, Bolivia, NC 28422
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jonaysha Douglas's NPI number?

The NPI number for Jonaysha Douglas is 1255001004. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Jonaysha Douglas located?

Jonaysha Douglas practices at 3972 Old Ocean Hwy, Bolivia, NC 28422. The listed phone number is (910) 368-6739.

What is Jonaysha 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 Jonaysha Douglas was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.