Timothy Michael Doherty in Winston-salem - Clinical
Timothy Michael Doherty - NPI 1740240431
Timothy Michael Doherty is a Clinical in Winston-salem, North Carolina. Timothy Michael Doherty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Michael Doherty is 1740240431. The last update date is 2007-07-08.
Timothy Michael Doherty's current location address is 241 Lucerne Ln, Winston-salem, North Carolina. You can contact this provider via phone number 3367740379. The mailing address for Timothy Michael Doherty is 241 Lucerne Ln, Winston-salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Michael Doherty |
|---|---|
| Address | 241 Lucerne Ln, Winston-salem, North Carolina |
| Phone Number | 3367740379 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1740240431 |
|---|---|
| Provider Enumeration Date | 2006-03-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 241 Lucerne Ln |
|---|---|
| City | Winston-salem |
| State | North Carolina (NC) |
| Post Code | 271042916 |
| Phone Number | 3367740379 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C002863 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy Michael Doherty?
The Timothy Michael Doherty has been issued the NPI (National Provider Identifier) 1740240431 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 Timothy Michael Doherty?
The Timothy Michael Doherty is physically situated at 241 Lucerne Ln, in the city of Winston-Salem, state of NC, with the postal code 271042916.
What is the area of specialization for Timothy Michael Doherty, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Michael Doherty is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740240431 to Timothy Michael Doherty?
The Timothy Michael Doherty received its 1740240431 assignment from the Centers for Medicare & Medicaid Services on 2006-03-25.
When was the information pertaining to Timothy Michael Doherty most recently updated or revised?
The details related to Timothy Michael Doherty, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.