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MITCHELL DOUGLAS LCSW
NPI 1942388269
Social Worker - Clinical in Skillman, NJ

Active since November 02, 2006PECOS Enrolled
11 TAMARACK CIR, SKILLMAN, NJ 08558(609) 279-1339(609) 279-1359 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mitchell Douglas Lcsw NPPES

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

MITCHELL DOUGLAS LCSW (NPI 1942388269) is an individual clinical provider in Skillman, New Jersey, licensed in New Jersey (SC04824600) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1942388269
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMITCHELL DOUGLASCredential: LCSW
Location Address11 TAMARACK CIRSkillman, NJ 08558-2019
Mailing Address150 W 96th St Apt 4dNew York, NY 10025-6443 · (646) 499-0936
Phone(609) 279-1339
Fax(609) 279-1359
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1942388269 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 NJ · SC04824600
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.
11 TAMARACK CIR, Skillman, NJ 08558
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Douglas Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072881861
PECOS Enrollment IDI20170620002175
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08558 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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

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

ARNALDO NEGRON MD
Psychiatry & Neurology (Psychiatry)
11 TAMARACK CIR
SKILLMAN, NJ 08558
Somerset County (609) 279-1339

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 Mitchell Douglas's NPI number?

The NPI number for Mitchell Douglas is 1942388269. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mitchell Douglas located?

Mitchell Douglas practices at 11 Tamarack Cir, Skillman, NJ 08558. The listed phone number is (609) 279-1339.

What is Mitchell Douglas's specialty?

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

Is Mitchell Douglas enrolled in Medicare?

Yes. Mitchell Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Douglas was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.