Kaitlin A Douglas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

148 Flamingo Dr
Newark, DE 19702-4147

Phone

(302) 832-5451

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Child, Inc

  • Community/Behavioral Health Agency
  • Wilmington, DE
  • NPI 1669528675
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1801633227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOPE CT E",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013364",
            "telephone_number": "302-824-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FLAMINGO DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024147",
            "telephone_number": "302-832-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Philadelphia Pike",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198092177",
            "country_code": "US",
            "telephone_number": "302-762-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KAITLIN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Ramere Dortch, FNP
• Dou2Luv Doula Services, LLC
• Lyndsey Dougan, MS, OTR/L
• Erin L Dougherty, PA-C
• Douglas B. Gersh, MD., LLC
• Lauren Nicole Douglas, MD
• Victoria Dover
• James English Downing, MD
• Stephen Doyle, MD
• Dr Giorgiannis Podiatry LLC

• Clinical Social Worker in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.