MS. ANDREA RACE DOUGLASS (NPI# 1255584462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255584462 |
| Entity Type | Individual |
| Full Name | MS. ANDREA RACE DOUGLASS |
| Credential | LICSW |
| Practice Address |
1025 Massachusetts Ave Arlington MA 02476-4503 |
| Practice Telephone | 6176156353 |
| Mailing Telephone | 6176156353 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2014-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
116215 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1025 MASSACHUSETTS AVE |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02476-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352022 | Kathleen Flynn | Dietitian, Registered | 1025 Massachusetts Ave, Arlington, MA 02476-4503 | 2017-01-14 |
| 1952712028 | Robert Ross | Counselor | 1025 Massachusetts Ave, Arlington, MA 02476-4503 | 2014-05-12 |
| 1881031375 | Kimberly Hackettl.m.h.c. | Counselor | 1025 Massachusetts Ave, Arlington, MA 02476-4503 | 2013-05-24 |
| 1285984310 | Francine Lorimer | Psychologist | 1025 Massachusetts Ave, Arlington, MA 02476-4503 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479106 | Terry Ellis Real | Social Worker | 754 Massachusetts Avene, Arlington, MA 02476 | 2020-08-25 |
| 1992313340 | Shivam Kamlesh Gosai | Counselor | 670r Massachusetts Av/, Whittemore Robbins House, Arlington, MA 02476 | 2020-07-21 |
| 1912559246 | Hilary Scheintaub | Student in an Organized Health Care Education/Training Program | Boston College Biology Department, 355 Higgins Hall, Chestnut Hill, MA 02476 | 2019-07-16 |
| 1871076075 | Lourie August | Social Worker | Council On Aging, 27 Maple St, Arlington, MA 02476 | 2018-09-13 |
| 1235612904 | Marci Susan Shapiro-ide | Social Worker | Arlington Council On Aging, 27 Maple Street, Arlington, MA 02476 | 2018-09-10 |
| 1336621796 | Elizabeth W Rollins | Social Worker | 47 Ottawa Rd, Arlington, MA 02476 | 2018-09-02 |
| 1417439878 | Emily F Freisen | Occupational Therapist | 22 Mill Street Suite 302, Arlinton, MA 02476 | 2018-09-02 |
| 1093294886 | Michael Greenstein | Social Worker | Ottoson Middle School, 63 Acton St., Arlington, MA 02476 | 2018-08-13 |
| 1932627577 | Lori Peters | Counselor | 691 Massachusetts Ave. Suite #5, Arlington, MA 02476 | 2017-09-05 |
| 1235651290 | Stephen Marshall | Psychologist | 259 Massachusetts Ave., Arlington, MA 02476 | 2017-07-12 |
| Find all providers in zip 02476 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779333 | Caitlyn Ussery | Social Worker | 5806 Terra Dr, Arlington, TX 76017-4216 | 2020-10-30 |
| 1407463623 | Metropolitan Counseling Services, LLC | Social Worker | 1503 N Jefferson St, Arlington, VA 22205-2839 | 2020-09-30 |
| 1740897263 | Michelle Binion | Social Worker | 3918 November Ct, Arlington, TX 76016-3805 | 2020-09-29 |
| 1649887316 | Jessica Barber | Social Worker | 5701 Champion Ct, Arlington, TX 76017-4213 | 2020-09-28 |
| 1568076172 | Katie Michell Mcintyre | Social Worker | 12025 228th St Ne, Arlington, WA 98223-6930 | 2020-09-01 |
| 1508479106 | Terry Ellis Real | Social Worker | 754 Massachusetts Avene, Arlington, MA 02476 | 2020-08-25 |
| 1740815323 | Jennifer Jones Alexander | Social Worker | 7606 Black Willow Ln, Arlington, TX 76002-4626 | 2020-03-04 |
| 1578194643 | Krista Oberlander | Social Worker | 3330 Washington Blvd Ste 150, Arlington, VA 22201-4502 | 2020-01-28 |
| 1295373447 | Samantha Theresa Brown | Social Worker | 1235 S Clark St Ste 510, Arlington, VA 22202-4362 | 2019-12-18 |
| 1730727520 | Stephanie Gillespie | Social Worker | 1506 W Pioneer Pkwy Ste 108, Arlington, TX 76013-6253 | 2019-12-12 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.