Calacia Tiana Douglas, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019590 Issued in NC

Practice address

1781 S Main St Ste B
Laurinburg, NC 28352-5407

Phone

(910) 406-4018

Fax

(843) 400-5045

NPI assigned

Sep 13, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• R&C Consulting Group, Inc.

  • Clinical Social Worker
  • Laurinburg, NC
  • NPI 1013484419
  NPD
• New Life Center LLC

  • Clinical Social Worker
  • Ponte Vedra, FL
  • NPI 1609746494
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1801622998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532153",
            "telephone_number": "910-506-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 S MAIN ST STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525407",
            "telephone_number": "910-406-4018",
            "fax_number": "843-400-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CALACIA",
        "middle_name": "TIANA",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dial, MA. ED.
• Brian Dial
• Tina Chavis Dial, LCSWA, LCASA
• Discovery School of Learning, Inc
• Discovery School of Learning, Inc.
• Satoya Dubose
• Pamela Lynn Dunbar, FNP-C
• David L Dundore, CRNA
• Ronald L. Dupler, DO
• Eckerd Corporation

• Clinical Social Worker in Laurinburg, NC
• Providers in Laurinburg, 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 Sep 13, 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.