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MR. SAMUEL GARRISON DOUGLAS LCSW
NPI 1750015566
Social Worker - Clinical in New York, NY

Active since July 16, 2022
26 W 9TH ST APT 2D, NEW YORK, NY 10011(917) 318-8959 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Garrison Douglas Lcsw NPPES

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

MR. SAMUEL GARRISON DOUGLAS LCSW (NPI 1750015566) is an individual clinical provider in New York, New York, licensed in New York (093170) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1750015566
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SAMUEL GARRISON DOUGLASCredential: LCSW
Location Address26 W 9TH ST APT 2DNew York, NY 10011-8923
Mailing Address192 Washington Park Apt 5Brooklyn, NY 11205-4047 · (917) 318-8959
Phone(917) 318-8959
Sole ProprietorYes
Enumeration DateJuly 16, 2022
NPPES CertifiedJuly 16, 2022
✔ NPI 1750015566 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 · 093170
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.
26 W 9TH ST APT 2D, New York, NY 10011
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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 Samuel Douglas's NPI number?

The NPI number for Samuel Douglas is 1750015566. It was assigned to this individual provider in the NPPES registry on July 16, 2022.

Where is Samuel Douglas located?

Samuel Douglas practices at 26 W 9th St Apt 2D, New York, NY 10011. The listed phone number is (917) 318-8959.

What is Samuel 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 Samuel Douglas was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.