ROSE M DOUGLASS LCSW
NPI 1902955206
Social Worker - Clinical in Prestonsburg, KY

Q: What is Rose Douglass's NPI number?

The NPI number for Rose Douglass is 1902955206. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Rose Douglass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rose Douglass was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment

104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rose M Douglass Lcsw NPPES

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

ROSE M DOUGLASS LCSW (NPI 1902955206) is an individual clinical provider in Prestonsburg, Kentucky, licensed in Kentucky (795) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1902955206

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameROSE M DOUGLASSCredential: LCSW

Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614

Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433

Phone(606) 886-8572

Fax(606) 886-4433

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 9, 2007

Last NPPES UpdateFebruary 12, 2020

✔ NPI 1902955206 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 KY · 795

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.

104 S FRONT AVE, Prestonsburg, KY 41653

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Other Identifiers 1

Medicaid30615058KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rose M Douglass Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385832401

PECOS Enrollment IDI20101216000007

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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 $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 20

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

PETER SMITHWICK OLIVER MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)