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

Individual provider Clinical Social Worker · NPI 1871327510

Siobhan M Douglas, LCSW is a Clinical Social Worker in St Augustine, Florida. Qualified in 2017, 9 years ago. Practices with Sma Healthcare Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2024
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

1880 San Sebastian Vw Ste 4201
St Augustine, FL 32084-8684
Phone: (800) 539-4228
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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 SW23414 (FL)

Record details

NPI number1871327510
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sma Healthcare Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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