R Kevin Douglas, LCSW CASAC
NPI 1124366505ActiveIndividual· Social Worker, Clinical· Fishkill, NY
Social Worker, Clinical (LCSW CASAC) in Fishkill, New York, licensed in NY, with an NPI issued in January 2013.
Overview
| NPI | 1124366505 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW CASAC |
| Sole proprietor | Yes |
| NPI issued | Jan 20, 2013 |
| Last updated in NPPES | Jan 20, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 73 080102 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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