Deanna M Douglas, ASW is a
Social Worker based in Vallejo, California. Deanna M Douglas is licensed to practice in California (license number 98841) and her current practice location is
355 Tuolumne St, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(707) 553-5102.
NPI number for Deanna M Douglas is 1548848047 and her current mailing address is 355 Tuolumne St # Ms 20-100, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548848047.
Healthcare Provider's Profile
| Full Name | Deanna M Douglas |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 355 Tuolumne St, Vallejo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548848047
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 07/25/2023
Medical Identifiers
Medical identifiers for Deanna M Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548848047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 98841 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 98841 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 199673 (California) | Secondary |
| 104100000X | Social Worker | 98841 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deanna M Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deanna M Douglas, ASW
355 Tuolumne St # Ms 20-100,
Vallejo, CA 94590-5700
Ph: (510) 673-7617 | Deanna M Douglas, ASW
355 Tuolumne St,
Vallejo, CA 94590-5700
Ph: (707) 553-5102 |
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