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

Samuel Reed Douglas, LCSW

Individual provider Mental Health Counselor · NPI 1801104781

Samuel Reed Douglas, LCSW is a Mental Health Counselor in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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

1133 Broadway Ste 1211
New York, NY 10010-7963
Phone: (617) 290-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1801104781
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2010
Last updated in NPPESApril 17, 2017

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