KYLE DAVID DOUGLAS MSW
NPI 1699367409
Social Worker in Jackson, TN

Active since February 03, 2021
112 N LIBERTY ST, JACKSON, TN 38301(731) 736-4400 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle David Douglas Msw NPPES

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

KYLE DAVID DOUGLAS MSW (NPI 1699367409) is an individual social worker in Jackson, Tennessee and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1699367409
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKYLE DAVID DOUGLASCredential: MSW
Location Address112 N LIBERTY STJackson, TN 38301-6200
Mailing Address112 N Liberty StJackson, TN 38301-6200 · (731) 736-4400
Sole ProprietorNo
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1699367409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
112 N LIBERTY ST, Jackson, TN 38301

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
112 N LIBERTY ST
JACKSON, TN 38301
Social Worker
112 N LIBERTY ST
JACKSON, TN 38301
Marriage & Family Therapist
112 N LIBERTY ST
JACKSON, TN 38301
Counselor (School)
112 N LIBERTY ST
JACKSON, TN 38301
Counselor (Mental Health)
112 N LIBERTY ST
JACKSON, TN 38301
Counselor (Mental Health)
112 N LIBERTY ST
JACKSON, TN 38301
Counselor (Mental Health)
112 N LIBERTY ST
JACKSON, TN 38301
Counselor (Mental Health)
112 N LIBERTY ST
JACKSON, TN 38301

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 Kyle Douglas's NPI number?

The NPI number for Kyle Douglas is 1699367409. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Kyle Douglas located?

Kyle Douglas practices at 112 N Liberty St, Jackson, TN 38301. The listed phone number is (731) 736-4400.

What is Kyle Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Kyle Douglas was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.