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

Rose M Douglass, LCSW

Individual provider Clinical Social Worker · NPI 1902955206

Rose M Douglass, LCSW is a Clinical Social Worker in Prestonsburg, Kentucky. Qualified in 1990, 36 years ago. Practices with Lake Cumberland Regional Mental Health Mental Retardation Board Inc ., a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
36
Licensed in
KY
In the registry since
2007
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

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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 795 (KY)

Record details

NPI number1902955206
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Lake Cumberland Regional Mental Health Mental Retardation Board Inc . — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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