Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699367409 Individual Practitioner Male Practitioner

Kyle David Douglas , MSW

Social Worker • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Kyle Douglas, MSW is a registered healthcare professional specializing in Social Worker in Jackson, TN. Practice services are available at 112 N LIBERTY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 N Liberty St

Jackson, TN 383016200

Telephone 7317364400

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Jackson, TN (2071 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-02
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Doris Black , LMSW

Counselor - Mental Health

NPI 1003302175

Licensed Master Social Worker

Sarah Venable , MSW

Social Worker - Clinical

NPI 1003588575

Master of Social Work

Tawanna Ballard

Social Worker

NPI 1003611757
Kimberly Hudgins

Counselor - Mental Health

NPI 1023977022
Cindy Burden

Counselor - Mental Health

NPI 1083443436
Rebecca Strawn

Counselor - Mental Health

NPI 1114863255

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2021

Registered at 112 N LIBERTY ST, JACKSON, TN 383016200 (Tel: 7317364400)

📍
Updated Business Mailing Address February 03, 2021

Registered at 112 N LIBERTY ST, JACKSON, TN 383016200 (Tel: 7317364400)

👤
Provider Name / Credentials Updated February 03, 2021

Recorded as KYLE DOUGLAS, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Social Worker

🟢
Initial NPI Registration & Enumeration February 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699367409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2021
Last Update: February 03, 2021
Sole Proprietor: No

Mailing Address

112 N Liberty St

Jackson, TN 383016200

Phone: 7317364400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.