Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Douglas

Individual provider Clinical Social Worker · NPI 1649672627

Jeremy Douglas is a Clinical Social Worker in New York, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

320 W 13th St Fl 4
New York, NY 10014-1268
Phone: (212) 645-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1649672627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 21, 2014
Last updated in NPPESSeptember 30, 2019

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