CONSTANCE DOUGLAS LCSW
NPI 1376093344
Social Worker in Mount Vernon, NY

Active since October 13, 2016PECOS Enrolled
11 W PROSPECT AVE FL 4, C/O WJCS, MOUNT VERNON, NY 10550(914) 668-8938(914) 668-2545 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Constance Douglas Lcsw NPPES

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

CONSTANCE DOUGLAS LCSW (NPI 1376093344) is an individual social worker in Mount Vernon, New York, licensed in New York (071290) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1376093344
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCONSTANCE DOUGLASCredential: LCSW
Location Address11 W PROSPECT AVE FL 4, C/O WJCSMount Vernon, NY 10550-2017
Mailing Address11 W Prospect Ave Fl 4, C/o WjcsMount Vernon, NY 10550-2017 · (914) 668-8938 · Fax (914) 668-2545
Fax(914) 668-2545
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 13, 2016
NPI 1376093344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NY · 071290
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.
11 W PROSPECT AVE FL 4, Mount Vernon, NY 10550

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Constance Douglas Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850671173
PECOS Enrollment IDI20161202001078
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
243 services17 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
131 services14 patients

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Peer Specialist
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Social Worker (Clinical)
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Social Worker
11 W PROSPECT AVE FL 4, C/O WJCS
MOUNT VERNON, NY 10550
Student in an Organized Health Care Education/Training Program
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Social Worker (Clinical)
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550
Nurse Practitioner (Psychiatric/Mental Health)
11 W PROSPECT AVE FL 4
MOUNT VERNON, NY 10550

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 Constance Douglas's NPI number?

The NPI number for Constance Douglas is 1376093344. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Constance Douglas located?

Constance Douglas practices at 11 W Prospect Ave Fl 4 C/O Wjcs, Mount Vernon, NY 10550. The listed phone number is (914) 668-8938.

What is Constance Douglas's specialty?

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

Is Constance Douglas enrolled in Medicare?

Yes. Constance Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Constance Douglas was last updated on October 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.