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

Mr. Gregory Landells Douglas, LCSW

Individual provider Clinical Social Worker · NPI 1568600625

Mr. Gregory Landells Douglas, LCSW is a Clinical Social Worker in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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

1276 Fulton Ave
Bronx, NY 10456-3402
Phone: (718) 901-8222
Fax: (718) 466-6098
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 73 047347 (NY)

Record details

NPI number1568600625
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 28, 2009
Last updated in NPPESJanuary 28, 2009

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