MR. MARK DOUGLAS LCSW - NPI 1508475062 - Social Worker in Hinesville, GA

Q: What is Mark Douglas's NPI number?

The NPI number for Mark Douglas is 1508475062. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Mark Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Douglas was last updated on July 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Mark Douglas Lcsw NPPES

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

MR. MARK DOUGLAS LCSW (NPI 1508475062) is an individual social worker in Hinesville, Georgia, licensed in Georgia (CSW007151) and active in the NPI registry since July 2020. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508475062

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. MARK DOUGLASCredential: LCSW

Location Address303 FRASER DRHinesville, GA 31313-3712

Mailing Address178 Finn CirSavannah, GA 31419-8408 · (912) 308-6735

Phone(912) 877-2227

Fax(912) 877-2332

Sole ProprietorNo

Enumeration DateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1508475062 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 GA · CSW007151

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.

303 FRASER DR, Hinesville, GA 31313

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Secondary Practice Locations 3

Location 1213 N McDonald St Ste A&bLudowici, GA 31316-6075 · Phone (912) 545-9398 · Fax (912) 545-2747

Location 2244 Peachtree StJesup, GA 31545-0212 · Phone (912) 385-2453 · Fax (912) 559-2083

Location 3502 E General Stewart Way Ste AHinesville, GA 31313-2643 · Phone (912) 368-1959 · Fax (912) 368-1966

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.

TIFFINY DUCHENE FNP

Registered Nurse (Community Health)