Reata Gene Douglas, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

107788 Issued in TX

Practice address

4412 74TH St Ste F100
Lubbock, TX 79424-2316

Phone

(210) 858-5898

Fax

(312) 260-7996

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Reata Gene Collins Former name

Medicare fee-for-service enrollment

Enrolled in MD, TX2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serenity Place LLCGroup PAC ID 2860809480, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Place, LLC

  • Community/Behavioral Health Agency
  • Leonardtown, MD
  • NPI 1467998468

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1649015660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 74TH ST STE F100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242316",
            "telephone_number": "210-858-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 74TH ST STE F100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242316",
            "telephone_number": "210-858-5898",
            "fax_number": "312-260-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "REATA",
        "middle_name": "GENE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "28875",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "107788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REATA",
            "last_name": "COLLINS",
            "middle_name": "GENE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Dotson, OTR, MOT
• Double Spectrum, Inc.
• Douglas a Lampkin MD PA
• Heather Michaela Douglas, PA-C
• Lillie Douglas, RBT
• Susan M Douglas, MD
• Daniel David Douglass, FNP
• Lauren Douglass
• Lola Lashay Douglass, OD
• Breanna Douma, RBT

• Social Worker in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.