1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Counselor
  6. NPI Profile

SAMUEL REED DOUGLAS LCSW
NPI 1801104781
Counselor - Mental Health in New York, NY

Active since September 14, 2010
1133 BROADWAY STE 1211, NEW YORK, NY 10010(617) 290-1380 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Reed Douglas Lcsw NPPES

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

SAMUEL REED DOUGLAS LCSW (NPI 1801104781) is an individual mental health provider in New York, New York and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1801104781
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL REED DOUGLASCredential: LCSW
Location Address1133 BROADWAY STE 1211New York, NY 10010-7963
Mailing Address1133 Broadway Ste 1211New York, NY 10010-7963 · (617) 290-1380
Phone(617) 290-1380
Sole ProprietorYes
Enumeration DateSeptember 14, 2010
Last NPPES UpdateApril 17, 2017
✔ NPI 1801104781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1133 BROADWAY STE 1211, New York, NY 10010
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

LIZZ VANWILGEN SMITH PT
Physical Therapist (Orthopedic)
1133 BROADWAY STE 1211
NEW YORK, NY 10010
New York County (917) 912-3980

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 1801104781. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Samuel Douglas located?

Samuel Douglas practices at 1133 Broadway Ste 1211, New York, NY 10010. The listed phone number is (617) 290-1380.

What is Samuel Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Douglas was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.