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

Individual provider Clinical Social Worker · NPI 1164916870

Kathryn Douma, LCSW, CCM is a Clinical Social Worker in Naperville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
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

800 W 5th Ave Ste 102B
Naperville, IL 60563-4859
Phone: (815) 931-0047
Fax: (815) 230-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.019980 (IL)

Record details

NPI number1164916870
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CCM
Sole proprietorYes
NPI enumeratedJune 15, 2018
Last updated in NPPESJune 15, 2018

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