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JEREMY DOUGLAS
NPI 1649672627
Social Worker - Clinical in New York, NY

Active since September 21, 2014PECOS Enrolled
320 W 13TH ST FL 4, NEW YORK, NY 10014(212) 645-8111 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremy Douglas NPPES

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

JEREMY DOUGLAS (NPI 1649672627) is an individual clinical provider in New York, New York and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649672627
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEREMY DOUGLAS
Location Address320 W 13TH ST FL 4New York, NY 10014-1268
Mailing Address57 Willoughby St Fl 2Brooklyn, NY 11201-5290
Phone(212) 645-8111
Sole ProprietorNo
Enumeration DateSeptember 21, 2014
Last NPPES UpdateSeptember 30, 2019
✔ NPI 1649672627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
320 W 13TH ST FL 4, New York, NY 10014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeremy Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Housing Works Services, Inc.
1.7 mi
Federally Qualified Health Center (FQHC)
326 W 48TH ST
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1407418379 (718) 408-6522
Bailey House Inc
5.7 mi
Federally Qualified Health Center (FQHC)
145 E 125TH ST FL 4, 4TH FLOOR
New York, NY 10035
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1083820583 (718) 277-0386
Housing Works Health Services III, Inc.
8.1 mi
Federally Qualified Health Center (FQHC)
2640 PITKIN AVE
Brooklyn, NY 11208
  • Reassigned Medicare billing, New York enrollment
  • 35 clinicians in this Medicare group
NPI 1114950151 (718) 827-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jeremy Douglas's NPI number?

The NPI number for Jeremy Douglas is 1649672627. It was assigned to this individual provider in the NPPES registry on September 21, 2014.

Where is Jeremy Douglas located?

Jeremy Douglas practices at 320 W 13th St Fl 4, New York, NY 10014. The listed phone number is (212) 645-8111.

What is Jeremy Douglas's specialty?

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

Is Jeremy Douglas enrolled in Medicare?

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

Which organizations bill Medicare for Jeremy Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Douglas reassigns Medicare benefits to 3 organizations: Housing Works Services, Inc. (New York, NY), Bailey House Inc (New York, NY) and Housing Works Health Services III, Inc. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Douglas was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.