Jeremy Douglas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

320 W 13TH St FL 4
New York, NY 10014-1268

Phone

(212) 645-8111

NPI assigned

Sep 21, 2014

Last updated

Sep 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Bailey House Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1083820583
  Medicare reassignment NPD
• Housing Works Health Services III, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1114950151
  Medicare reassignment NPD
• Housing Works Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1831122977
  Medicare reassignment NPD
• Housing Works Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1407418379
  NPD
• Housing Works Health Services III, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1750934436
  NPD (past)
• Housing Works Services II, Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1083647101
  NPD (past)

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

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1649672627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILLOUGHBY ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 13TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141268",
            "telephone_number": "212-645-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-21",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara V Douglas, PT
• Brett Douglas, PHARMD
• Carolyn Jory Douglas, M.D.
• Colin Douglas
• James Joshua Douglas, MD
• Jordana Douglas, PHD
• Katherine Douglas, LMFT
• Lacey Douglas
• Marilyn Monique Douglas, FNP
• Melissa N. Douglas, LCSW

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Sep 30, 2019; 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.