Veronica D. Walker-Douglas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-007809 Issued in IL

Practice address

4749 Lincoln Mall Dr Ste 202
Matteson, IL 60443-3807

Phone

(708) 218-2271

NPI assigned

Jan 14, 2010

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: veronicawalkerdouglas@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Earnest Webb, PC

  • Community/Behavioral Health Agency
  • Homewood, IL
  • NPI 1669602744
  NPD (past)
• More Abundant Living Institute, P.C.

  • Clinical Social Worker
  • Lynwood, IL
  • NPI 1902038417
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1598096547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 WICKER AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222262",
            "telephone_number": "708-218-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LINCOLN MALL DR STE 202",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433807",
            "telephone_number": "708-218-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-DOUGLAS",
        "first_name": "VERONICA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adilene Villa
• Village of Matteson
• Vitaltouch Health Network Incorporated
• Anna Wagner, OTD, OTR/L
• Walgreen Co.
• Ericka Wallace
• Johnyce Ware
• Whitney Warr, LCPC
• Nicole Monique Warren
• Gia V Washington

• Clinical Social Worker in Matteson, IL
• Providers in Matteson, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.