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MR. SEAN TYRONE DOUGLAS PH.D., LCSW-R
NPI 1457370124
Social Worker - Clinical in Glen Cove, NY

Active since July 19, 2006
5 BREWSTER ST STE 143, GLEN COVE, NY 11542(516) 825-8584 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Sean Tyrone Douglas Ph.d., Lcsw-r NPPES

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

MR. SEAN TYRONE DOUGLAS PH.D., LCSW-R (NPI 1457370124) is an individual clinical provider in Glen Cove, New York, licensed in New York (R056802) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1457370124
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SEAN TYRONE DOUGLASCredential: PH.D., LCSW-R
Location Address5 BREWSTER ST STE 143Glen Cove, NY 11542-2549
Mailing Address5 Brewster St Ste 143Glen Cove, NY 11542-2549 · (516) 825-8584
Phone(516) 825-8584
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1457370124 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 NY · R056802
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.
5 BREWSTER ST STE 143, Glen Cove, NY 11542
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Sean Douglas's NPI number?

The NPI number for Sean Douglas is 1457370124. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Sean Douglas located?

Sean Douglas practices at 5 Brewster St Ste 143, Glen Cove, NY 11542. The listed phone number is (516) 825-8584.

What is Sean Douglas's specialty?

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

What insurance does Sean Douglas accept?

Health plans from Providence Health Plan list Sean 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 Sean Douglas was last updated on August 15, 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.