Carissa Anne Dougherty in Austin - Clinical
Carissa Anne Dougherty - NPI 1285771865
Carissa Anne Dougherty is a Clinical in Austin, Texas. Carissa Anne Dougherty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carissa Anne Dougherty is 1285771865. The last update date is 2007-07-08.
Carissa Anne Dougherty's current location address is 4019 Manchaca Rd, Austin, Texas. You can contact this provider via phone number 5128043414 and fax number 5124472213. The mailing address for Carissa Anne Dougherty is 4019 Manchaca Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carissa Anne Dougherty |
|---|---|
| Address | 4019 Manchaca Rd, Austin, Texas |
| Phone Number | 5128043414 |
| Fax Number | 5124472213 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1285771865 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4019 Manchaca Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 7870467370 |
| Phone Number | 5128043414 |
| Fax Number | 5124472213 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 36018 |
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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 identifier code issued to Carissa Anne Dougherty by the Centers for Medicare & Medicaid Services?
The Carissa Anne Dougherty has been assigned the NPI (National Provider Identifier) 1285771865. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carissa Anne Dougherty's physical address?
The Carissa Anne Dougherty is physically located at 4019 Manchaca Rd, in the city of Austin, TX, with the postal code 7870467370.
What is the Carissa Anne Dougherty's area of specialization and corresponding taxonomy classification?
The Carissa Anne Dougherty's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285771865 to Carissa Anne Dougherty?
The Centers for Medicare & Medicaid Services originally issued the 1285771865 to Carissa Anne Dougherty on 2007-01-31.
As of what date were the details pertaining to Carissa Anne Dougherty last refreshed?
The information related to the Carissa Anne Dougherty, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1982607784
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