Michele Judith Dougherty in Newark - Clinical
Michele Judith Dougherty - NPI 1962593020
Michele Judith Dougherty is a Clinical in Newark, California. Michele Judith Dougherty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michele Judith Dougherty is 1962593020. The last update date is 2007-07-08.
Michele Judith Dougherty's current location address is 37053 Cherry Street, Newark, California. You can contact this provider via phone number 5107390942 and fax number 5107976261. The mailing address for Michele Judith Dougherty is 37053 Cherry Street, Newark, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele Judith Dougherty |
|---|---|
| Address | 37053 Cherry Street, Newark, California |
| Phone Number | 5107390942 |
| Fax Number | 5107976261 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1962593020 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 37053 Cherry Street |
|---|---|
| City | Newark |
| State | California (CA) |
| Post Code | 945603785 |
| Phone Number | 5107390942 |
| Fax Number | 5107976261 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS13019 |
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Definition: 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, certif |
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What is the unique provider identifier assigned to Michele Judith Dougherty?
The Michele Judith Dougherty has been issued the NPI (National Provider Identifier) 1962593020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michele Judith Dougherty?
The Michele Judith Dougherty is physically situated at 37053 Cherry Street, in the city of Newark, state of CA, with the postal code 945603785.
What is Michele Judith Dougherty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michele Judith Dougherty is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1962593020 assigned to Michele Judith Dougherty?
The Michele Judith Dougherty was issued its 1962593020 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michele Judith Dougherty most recently updated?
The details pertaining to the Michele Judith Dougherty, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.