Veronica Jean Douglas, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0133101 Issued in VT

Practice address

7125 Rockridge LN
Fayetteville, NC 28306-9744

Phone

(802) 999-3208

NPI assigned

Aug 17, 2017

Last updated

Jul 2, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1659897080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH) UNIT",
            "address_2": "BLDG 3031",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "telephone_number": "315-737-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ROCKRIDGE LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069744",
            "telephone_number": "802-999-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "VERONICA",
        "middle_name": "JEAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0133101",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0128937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ewing Doss, P.A.
• Christina Lynn Doty, OPTICIAN APPRENTICE
• Frederique Audrey Doue, PHARMD
• Holly N Douglas, CNM
• Valerie N Douglas, M.S. CCC-SLP
• James Davis Douglass III, DDS
• Stephanie McCorquodale Dove, DNP, FNP-C, CCRN
• Sydney Dove
• Cynthia Dovers
• Candice Renee Dowd, CRNA

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.