Michele Victoria Douglass, LCSWA, LCASA - Counselor in Wake Forest, NC

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Michele Victoria Douglass, LCSWA, LCASA is a Social Worker - Clinical based in Wake Forest, North Carolina. Michele Victoria Douglass is licensed to practice in North Carolina (license number PO21653) and her current practice location is 1740 Heritage Center Dr Ste 201, Wake Forest, North Carolina. She can be reached at her office (for appointments etc.) via phone at (919) 556-6501.

NPI number for Michele Victoria Douglass is 1720873433 and her current mailing address is 2704 Evers Dr, Raleigh, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720873433.

Contact Information

Michele Victoria Douglass, LCSWA, LCASA
1740 Heritage Center Dr Ste 201,
Wake Forest, NC 27587-9849
(919) 556-6501
(919) 556-4933

Map and Direction


Healthcare Provider's Profile

Full NameMichele Victoria Douglass
GenderFemale
SpecialitySocial Worker - Clinical
Location1740 Heritage Center Dr Ste 201, Wake Forest, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720873433
  • Provider Enumeration Date: 04/12/2025
  • Last Update Date: 04/22/2025

Medical Identifiers

Medical identifiers for Michele Victoria Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720873433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-30416 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical PO21653 (North Carolina)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. Michele Victoria 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 AddressPractice Location Address
Michele Victoria Douglass, LCSWA, LCASA
2704 Evers Dr,
Raleigh, NC 27610-4924

Ph: (919) 559-8490		Michele Victoria Douglass, LCSWA, LCASA
1740 Heritage Center Dr Ste 201,
Wake Forest, NC 27587-9849

Ph: (919) 556-6501

Reviews and Comments


Social Worker in Wake Forest, NC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.