Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Sean Tyrone Douglas, PHD, LCSW-R

Individual provider Clinical Social Worker · NPI 1457370124

Mr. Sean Tyrone Douglas, PHD, LCSW-R is a Clinical Social Worker in Glen Cove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5 Brewster St Ste 143
Glen Cove, NY 11542-2549
Phone: (516) 825-8584
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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 R056802 (NY)

Record details

NPI number1457370124
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW-R
Sole proprietorYes
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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