Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connie Douglas LCSW

Organization Mental Health Counselor · NPI 1407242753

Connie Douglas LCSW is a Mental Health Counselor in Irvington, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

49 Main St Apt 1
Irvington, NY 10533-1537
Phone: (914) 406-9647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 071290 (NY)

Record details

NPI number1407242753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Douglas — President · (914) 406-9647
NPI enumeratedApril 14, 2015
Last updated in NPPESApril 14, 2015
Mailing address293 Benedict Ave, C/O The Hackley School, Tarrytown, NY 10591-4327

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