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

Mayra Garcia Douglas, LCSW

Individual provider Social Worker · NPI 1356172233

Mayra Garcia Douglas, LCSW is a Social Worker in Bloomingdale, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
4
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

136 W Lake St Ste 100
Bloomingdale, IL 60108-1064
Phone: (630) 343-9528
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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 149.030151 (IL)
Social Worker Taxonomy 104100000X · Licence 150113815 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 150.113815 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 150.113815 (IL)

Record details

NPI number1356172233
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

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