Christina Marie Dougherty in Albuquerque - Clinical
Christina Marie Dougherty - NPI 1205097938
Christina Marie Dougherty is a Clinical in Albuquerque, New Mexico. Christina Marie Dougherty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christina Marie Dougherty is 1205097938. The last update date is 2023-05-01.
Christina Marie Dougherty's current location address is 1109 Daskalos Dr Ne, Albuquerque, New Mexico. You can contact this provider via phone number 8585047868. The mailing address for Christina Marie Dougherty is 1109 Daskalos Dr Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christina Marie Dougherty |
|---|---|
| Address | 1109 Daskalos Dr Ne, Albuquerque, New Mexico |
| Phone Number | 8585047868 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1205097938 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2023-05-01 |
Provider Mailing Address Detail
| Address | 1109 Daskalos Dr Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871231938 |
| Phone Number | 8585047868 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW018891 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB352029 | CA | MEDICARE CALIFORNIA PTAN | |
| 1033961110001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Christina Marie Dougherty by the Centers for Medicare & Medicaid Services?
The Christina Marie Dougherty has been assigned the NPI (National Provider Identifier) 1205097938 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Christina Marie Dougherty is physically located?
The Christina Marie Dougherty is situated at the following address: 1109 Daskalos Dr Ne, Albuquerque, NM 871231938.
What is the Christina Marie Dougherty's specialty and taxonomy code?
The Christina Marie Dougherty's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205097938 to Christina Marie Dougherty?
The Christina Marie Dougherty received its 1205097938 assignment from the Centers for Medicare & Medicaid Services on 2008-06-25.
When was the information regarding Christina Marie Dougherty most recently updated?
The details pertaining to the Christina Marie Dougherty, including its address, specialty, and other relevant information, were last refreshed on 2023-05-01.