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

Individual provider Clinical Social Worker · NPI 1659897080

Veronica Jean Douglas, LICSW is a Clinical Social Worker in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2017
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

7125 Rockridge Ln
Fayetteville, NC 28306-9744
Phone: (802) 999-3208
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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 089.0133101 (VT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 151.0128937 (VT)

Record details

NPI number1659897080
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 17, 2017
Last updated in NPPESJuly 2, 2024
Certification dateJune 24, 2024

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