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

Jonaysha Douglas

Individual provider Clinical Social Worker · NPI 1255001004

Jonaysha Douglas is a Clinical Social Worker in Bolivia, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

3972 Old Ocean Hwy
Bolivia, NC 28422
Phone: (910) 368-6739
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P023984 (NC)

Record details

NPI number1255001004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address588 Randolphville Rd Ne, Bolivia, NC 28422-8858

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