MEDICARE: DOUGLAS FOOTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C008813	NC

General Provider Information

NPI Number	:	1841617859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS FOOTE

Provider Business Mailing Address
First Line	:	2040 DRAGOON LOOP
Second Line	:
City	:	FORT POLK
State	:	LA
Zip	:	71459-5242
Country	:	US
Telephone Number	:	726-780-2488
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 DRAGOON LOOP BLDG 1170
Second Line	:
City	:	FORT POLK
State	:	LA
Zip	:	71459-5242
Country	:	US
Telephone Number	:	726-780-2488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2014
Last Update Date	:	01/23/2026

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Directions to “ DOUGLAS FOOTE ” Practice Location

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