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

R Kevin Douglas, LCSWCASAC

Individual provider Clinical Social Worker · NPI 1124366505

R Kevin Douglas, LCSWCASAC is a Clinical Social Worker in Fishkill, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

1073 Main St Ste 202A
Fishkill, NY 12524-3513
Phone: (914) 475-4083
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 080102 (NY)

Record details

NPI number1124366505
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWCASAC
Sole proprietorYes
NPI enumeratedJanuary 20, 2013
Last updated in NPPESJanuary 20, 2013

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