Amalia Douek, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R070286-1 Issued in NY

Practice address

3312 Surf Ave
Brooklyn, NY 11224-1406

Phone

(718) 372-3300

Fax

(718) 966-8758

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1467630269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-372-3300",
            "fax_number": "718-966-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241406",
            "telephone_number": "718-372-3300",
            "fax_number": "718-966-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUEK",
        "first_name": "AMALIA",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070286-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amey Nicole Doucette
• Doueck Associates
• Jacques Doueck, D.D.S.
• Roberta R Doueck, SLP-TSSLD
• Lee Douek Glaser, LCSW
• Bella Douek, SLP
• Pnina Douek
• Rose Douek, OTR/L
• Terri Esther Douek
• Dwight E Dougall

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.