Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LYNN DOUGLAS, LCSW
ActiveMR. JERRY LYNN DOUGLAS, LCSW is a Clinical Social Worker healthcare provider located in DECATUR, Illinois. NPI 1841394939 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DECATUR, IL
Registration Details
- NPI Number
- 1841394939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2006 (19.740290239249 yrs)
- Last Updated
- Feb 11, 2021
- License
-
149011257 (IL)
Practice Information
- Address
-
1770 E LAKESHORE DRSUITE 209DECATUR, IL, 62521Browse IL providers · Browse ZIP 62521
- Phone
- 2174236500
- Fax
- 2174236536
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| SUSAN S BRINKLOW | LCSW, ACSW | 1174578751 |
| KAREN F COKLEY | MSW LCSW | 1558479659 |
| ROBERT L COKLEY | PHD | 1972611077 |
| JANET L. WHITEHEAD | L.C.S.W. | 1518065119 |
| GENIEL GRABOWSKI | LCSW | 1811066913 |
| MRS. RUTH ELIZABETH TEEL | LCPC | 1780753889 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.