Brian J Douville, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003005 Issued in VA

Practice address

4641 Mayhunt Court
Alexandria, VA 22312

Phone

(703) 550-4048

Fax

(703) 534-7163

NPI assigned

May 15, 2007

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1568678704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 MAYHUNT CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121307",
            "telephone_number": "703-615-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 MAYHUNT COURT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22312",
            "telephone_number": "703-550-4048",
            "fax_number": "703-534-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUVILLE",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goran Dosen, DDS
• Anish Doshi, DDS
• Jose Maria Dossola, MD
• Timothy Russell Dougherty Jr., M.D.
• Sarah Elizabeth Douglas, LCSW
• Delia Ann Dowd, MSW
• Jennifer Marie Downey, NP
• Robert Lee Doyle III, MT
• Dr Anup K Panjwani and Associates Inc (hi def eyecare center)
• Dr C S Michael LLC

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.