Active NPI
Brandi Michelle Douglass, MSW, LISW
- Clinical Social Worker
- Marietta, OH
National Provider Identifier
1700546652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 209 Lancaster St
Marietta, OH 45750-2736 - Phone
- (263) 574-0702
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I2405337 | OH | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
209 Lancaster St
Marietta, OH 45750-2736
Mailing address
98 Cherry Blossom LN
Little Hocking, OH 45742-5137
Phone (304) 887-4799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I2405337 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1700546652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 CHERRY BLOSSOM LN",
"city": "LITTLE HOCKING",
"state": "OH",
"postal_code": "457425137",
"telephone_number": "304-887-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 LANCASTER ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502736",
"telephone_number": "263-574-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLASS",
"first_name": "BRANDI",
"middle_name": "MICHELLE",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I2405337",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.