Kimberley Renee Douglass, MSW is a
Social Worker based in Stockton, California. Kimberley Renee Douglass is licensed to practice in * (Not Available) (license number ) and her current practice location is
10260 Mono Ct, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 474-2227.
NPI number for Kimberley Renee Douglass is 1245411636 and her current mailing address is 10260 Mono Ct, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245411636.
Healthcare Provider's Profile
| Full Name | Kimberley Renee Douglass |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 10260 Mono Ct, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245411636
- Provider Enumeration Date: 11/14/2007
- Last Update Date: 11/13/2008
Medical Identifiers
Medical identifiers for Kimberley Renee Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245411636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Kimberley Renee Douglass 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 |
|---|
Kimberley Renee Douglass, MSW
10260 Mono Ct,
Stockton, CA 95219-7117
Ph: (209) 474-2227 | Kimberley Renee Douglass, MSW
10260 Mono Ct,
Stockton, CA 95219-7117
Ph: (209) 474-2227 |
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