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

Constance Douglas, LCSW

Individual provider Social Worker · NPI 1376093344

Constance Douglas, LCSW is a Clinical Social Worker in Mount Vernon, New York. Qualified in 1998, 28 years ago. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11 W Prospect Ave Fl 4 C/o Wjcs
Mount Vernon, NY 10550-2017
Phone: (914) 668-8938
Fax: (914) 668-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 071290 (NY)

Record details

NPI number1376093344
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 13, 2016
Last updated in NPPESOctober 13, 2016
Mailing address11 W Prospect Ave Fl 4, C/O Wjcs, Mount Vernon, NY 10550-2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated

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