RICK D DOUGLAS LCSW
NPI 1659401107
Social Worker - Clinical in Tyler, TX

Active since March 06, 2007
4411 KINSEY DR, APT. 905, TYLER, TX 75703(903) 273-2642 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rick D Douglas Lcsw NPPES

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

RICK D DOUGLAS LCSW (NPI 1659401107) is an individual clinical provider in Tyler, Texas, licensed in Texas (21438) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659401107
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICK D DOUGLASCredential: LCSW
Location Address4411 KINSEY DR, APT. 905Tyler, TX 75703-1015
Mailing Address4411 Kinsey Dr, Apt. 905Tyler, TX 75703-1015 · (903) 273-2642
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateNovember 15, 2012
NPI 1659401107 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 TX · 21438
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.
4411 KINSEY DR, Tyler, TX 75703

Other Identifiers 2

Other87039QTX · Blue Cross Blue Shield
Medicaid040460001TX

Other Providers at the Same Location NPPES

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

Pharmacist
4411 KINSEY DR, APT#836
TYLER, TX 75703

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 Rick Douglas's NPI number?

The NPI number for Rick Douglas is 1659401107. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Rick Douglas located?

Rick Douglas practices at 4411 Kinsey Dr Apt. 905, Tyler, TX 75703. The listed phone number is (903) 273-2642.

What is Rick Douglas'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 Rick Douglas was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.