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

Mr. Emerson Lee Douglas, LISW

Individual provider Clinical Social Worker · NPI 1235780016

Mr. Emerson Lee Douglas, LISW is a Clinical Social Worker in Pepper Pike, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

30800 Chagrin Blvd
Pepper Pike, OH 44124-5925
Phone: (216) 591-0324
Fax: (216) 591-1243
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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 I.2002146 (OH)

Record details

NPI number1235780016
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedSeptember 24, 2019
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

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