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

Mr. Samuel Garrison Douglas, LCSW

Individual provider Clinical Social Worker · NPI 1750015566

Mr. Samuel Garrison Douglas, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

26 W 9th St Apt 2D
New York, NY 10011-8923
Phone: (917) 318-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 093170 (NY)

Record details

NPI number1750015566
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 16, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022

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