Rose M. Douglass, LCSW
NPI 1902955206ActiveIndividual· Social Worker, Clinical· Prestonsburg, KY
Social Worker, Clinical (LCSW) with Lake Cumberland Regional Mental Health Mental Retardation Board Inc ., practicing in Prestonsburg, Kentucky. Medicare paid $772.94 for services to 11 patients in 2024.
Overview
| NPI | 1902955206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 9, 2007 |
| Last updated in NPPES | Feb 12, 2020 |
| Certified by provider | Feb 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 795 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 11 across 1 procedure code |
| Paid by Medicare | $772.94 |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Lake Cumberland Regional Mental Health Mental Retardation Board Inc .Somerset, KY · 25 clinicians
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