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NPI Profile for JERRY L DOUGLAS in DECATUR, IL.
A social worker who holds a master?s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master?s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI # | 1841394939 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 09/11/2006 | |
| Last updated | 02/11/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JERRY L DOUGLAS
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JERRY L DOUGLAS, LCSW