JENNIFER L DOUGLAS


Address: 19 Robinson Rd, Clinton, NY 13323-1418
Phone: 3158536090

JENNIFER L DOUGLAS (NPI# 1790264976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790264976
Entity Type Individual
Full Name JENNIFER L DOUGLAS
Practice Address 19 Robinson Rd
Clinton
NY 13323-1418
Mailing Address 954 Phillip Rd
Fort Plain
NY 13339-3858
Practice Telephone 3158536090
Mailing Telephone 3158536090
Enumeration Date 2018-08-09
Last Update Date 2018-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers JENNIFER DOUGLAS

NPI Name Taxonomy Address Enumeration
1689157570 Jennifer Joy Douglas Home Health 935 Pyramid Hill Blvd Apt 3b, Hamilton, OH 45013-6420 2018-09-07
1235476706 Jennifer Douglas Registered Nurse 1520 Kelly Pl Ste 220, Walla Walla, WA 99362-8607 2013-01-03
1992050470 Jennifer Lynn Douglas Social Worker 2501 Hunter Pl Ste 201, Woodbridge, VA 22192-3940 2012-07-19
1710032388 Jennifer Douglas Speech-Language Pathologist 7009 Stonehenge Rd, Odessa, TX 79765 2007-01-24
1861479792 Jennifer A Douglas Family Medicine 6521 Route 22, Delmont, PA 15626-2402 2005-12-30
1659904522 Jennifer R Douglas Counselor 537 W 18th St, Erie, PA 16502-1722 2020-02-19
1114559036 Jennifer G Douglas Nurse Practitioner 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 2020-02-08
1063996452 Jennifer L Douglas Behavior Technician 90 Hawes Way, Stoughton, MA 02072-1163 2018-09-20
1437668894 Jennifer Douglas Behavior Technician 9150 Bereford Dr, Baton Rouge, LA 70809-2403 2017-09-28
1386167500 Jennifer Douglas Psychologist 401 Quarry Rd, Palo Alto, CA 94304-1419 2017-07-19

Office Location

Street Address 19 ROBINSON RD
City CLINTON
State NY
Zip Code 13323-1418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568607042 Building Blocks Learning Center, LLC Early Intervention Provider Agency 19 Robinson Rd, Clinton, NY 13323-1418 2008-12-11
1619574373 Liliya Silchuk Speech-Language Pathologist 19 Robinson Rd, Clinton, NY 13323-1418 2020-10-06
1588277446 Tori Weaver Student in an Organized Health Care Education/Training Program 19 Robinson Rd, Clinton, NY 13323-1418 2020-08-28
1326674284 Carol Mcqueary Case Manager/Care Coordinator 19 Robinson Rd, Clinton, NY 13323-1418 2020-03-22
1013555465 Meghan Mary Mortensen Occupational Therapist 19 Robinson Rd, Clinton, NY 13323-1418 2019-12-17
1780226191 Heather Anne Valyou Case Manager/Care Coordinator 19 Robinson Rd, Clinton, NY 13323-1418 2019-10-17
1881242014 Sophia Laposta Student in an Organized Health Care Education/Training Program 19 Robinson Rd, Clinton, NY 13323-1418 2019-08-30
1780230391 Melissa Margadona Specialist 19 Robinson Rd, Clinton, NY 13323-1418 2019-08-11
1295397149 Susan Ann Duckett Case Manager/Care Coordinator 19 Robinson Rd, Clinton, NY 13323-1418 2019-07-01
1881257533 Laurie Anne Ducharme Case Manager/Care Coordinator 19 Robinson Rd, Clinton, NY 13323-1418 2019-04-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629603881 Dynamic Chiropractic and Physical Therapy Pllc Clinic/Center 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 2020-03-09
1558736413 John Alexander Nasrinpay Physical Therapist 7883 Seneca Turnpike, Clinton, NY 13323 2015-12-03
1518216043 Lesley Vella Speech-Language Pathologist 2 East Park Row, Clinton, NY 13323 2012-08-30
1649329087 Marsette A Vona Dmd PC Dentist 5 South Park Row, Clinton, NY 13323 2007-01-08
1366557084 Donna R Kapes Social Worker 2 Williams St, Clinton, NY 13323 2006-08-21
1386697464 Kristin M Dempsey Nurse Practitioner 110 Utica Road, Clinton, NY 13323 2006-05-18
1700417201 Cornwell Ave Physical Therapy PC Clinic/Center 7883 Seneca Turnpike, Clinton, NY 13323 2020-02-03
1770705782 Thomas Richard Carone Chiropractor 1 Kirkland Ave, Suite 101, Clinton, NY 13323 2007-05-02
1427195023 Sharon P. Dicks Nurse Practitioner 198 College Hill Rd, Tb Rudd Health Center, Clinton, NY 13323 2007-01-31
1215009105 Nancy Rayne Registered Nurse 7325 State Route 5, Clinton, NY 13323 2006-11-15
Find all providers in zip 13323

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437758794 Rachel Marie Hensley Case Manager/Care Coordinator 320 Red Frk, Clinton, OK 73601-3644 2020-10-19
1073121976 Jackson Kerry England Case Manager/Care Coordinator 512 S 9th St, Clinton, OK 73601-4430 2020-07-16
1053945717 Shannon Gautier Case Manager/Care Coordinator 209 Huntington Hill Dr, Clinton, MS 39056-6322 2020-03-02
1770124729 Heart 2 Heart Industries Case Manager/Care Coordinator 1623 W 600 N, Clinton, UT 84015-8470 2019-10-01
1164079281 Amber Dawn Cox Case Manager/Care Coordinator 1206 Orient Ave, Clinton, OK 73601-2756 2019-08-22
1982262101 Timothy Cook Case Manager/Care Coordinator 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 2019-06-03
1487111902 Leslie Washington Case Manager/Care Coordinator 9508 Plank Rd Ste C, Clinton, LA 70722-3701 2019-02-21
1841768009 Khaila Nicoll Mitchell Case Manager/Care Coordinator 423 S 15th St, Clinton, OK 73601-4207 2018-11-06
1689169831 Jordyn Taylor Laughlin Case Manager/Care Coordinator 2962 Serfass Rd, Clinton, OH 44216-9369 2018-06-28
1588160741 United Care Homes Case Manager/Care Coordinator 11001 Sweet Gum Way, Clinton, MD 20735-3934 2018-04-04
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 13323

Improve Information

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Dataset Information

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.

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