SUSAN ELLEN DOUGLASS LICSW
NPI 1275829558
Social Worker - Clinical in Worcester, MA

Active since June 24, 2011
72 JAQUES AVE, WORCESTER, MA 01610(508) 860-1154 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Ellen Douglass Licsw NPPES

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

SUSAN ELLEN DOUGLASS LICSW (NPI 1275829558) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (116372) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1275829558
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN ELLEN DOUGLASSCredential: LICSW
Location Address72 JAQUES AVEWorcester, MA 01610-2476
Mailing Address45 Summer StLeominster, MA 01453-3228 · (508) 421-4544
Sole ProprietorYes
Enumeration DateJune 24, 2011
NPI 1275829558 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 MA · 116372
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.
72 JAQUES AVE, Worcester, MA 01610

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.

Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610
Registered Nurse
72 JAQUES AVE
WORCESTER, MA 01610
Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610
Clinic/Center (Mental Health (Including Community Mental Health Center))
72 JAQUES AVE
WORCESTER, MA 01610
Counselor (Mental Health)
72 JAQUES AVE
WORCESTER, MA 01610
Registered Nurse
72 JAQUES AVE
WORCESTER, MA 01610
Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610
Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610

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 Susan Douglass's NPI number?

The NPI number for Susan Douglass is 1275829558. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Susan Douglass located?

Susan Douglass practices at 72 Jaques Ave, Worcester, MA 01610. The listed phone number is (508) 860-1154.

What is Susan Douglass'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 Susan Douglass was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.