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

Reata Gene Douglas, LMSW

Individual provider Social Worker · NPI 1649015660

Reata Gene Douglas, LMSW is a Clinical Social Worker in Lubbock, Texas. Qualified in 2022, 4 years ago. Practices with Serenity Place LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Texas.

Years since qualifying
4
Licensed in
MD, TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

4412 74th St Ste F100
Lubbock, TX 79424-2316
Phone: (210) 858-5898
Fax: (312) 260-7996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 107788 (TX)
Social Worker Taxonomy 104100000X · Licence 28875 (MD)

Record details

NPI number1649015660
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Serenity Place Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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