Janet Lynn Douglas, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61142036 Issued in WA

Practice address

1457 SW 10TH St
North Bend, WA 98045-7960

Phone

(425) 835-3027

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Encompass Northwest

  • Developmental Disabilities Clinic/Center
  • Snoqualmie, WA
  • NPI 1346389053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1043899586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270027",
            "telephone_number": "425-835-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 SW 10TH ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457960",
            "telephone_number": "425-835-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61142036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole P Demetrescu, PT
• Judith A Deomampo, M.S. CCC-SLP
• Yanidit Diaz Martinez, ARNP, FNP-C
• Alyssa Dirienzo, N.D.
• Sheri S. Dodd, SLP
• Alina Druta, RPH
• John D Duggan, DC
• Matthew James Dunn, ARNP, DC
• Brian Scott Duvall, OD
• David Paul Eck, MA LMHC

• All providers in North Bend, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.