Active NPIIndividual providerSole proprietor

Mary K Doherty, LICSW

Counselor, Professional in Swampscott, Massachusetts

NPI Number1124509203
Practice location
54 Plymouth Ave, Swampscott, MA 01907-1143
Fax
—
Last updated
August 27, 2018

Mary Katherine Doherty is a Counselor, Professional based in Swampscott, MA. Mary Katherine Doherty practices in Swampscott, MA and has the professional credentials of LICSW. The NPI Number for Mary Katherine Doherty is 1124509203 and holds a License No. 110642 (MA). The current practice location address for Mary Katherine Doherty is 54 Plymouth Ave, Swampscott, MA 01907-1143 and can be reached out via phone at 781-710-3420.

Provider Profile Details

NPI Number
1124509203
Provider Name
Mary Katherine Doherty
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
54 Plymouth Ave, Swampscott, MA 01907-1143
Phone Number
781-710-3420
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
August 27, 2018
Last Update Date
August 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Plymouth Ave
Swampscott, MA 01907-1143
Zip
01907-1143
Phone Number
781-710-3420
Swampscott, MA 01907Get directions →

Provider Business Mailing Address Details

Address
54 Plymouth Ave
Swampscott, MA 01907-1143
City
Swampscott
State
MA
Zip
01907-1143
Phone Number
781-710-3420

License Information

License Number
110642
License State
MA
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary K Doherty, LICSW?

The NPI number of Mary K Doherty, LICSW is 1124509203. It was assigned on August 27, 2018 and is currently active in the NPPES registry.

What is the specialty of Mary K Doherty, LICSW?

Mary K Doherty, LICSW is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in MA under license number 110642.

Where does Mary K Doherty, LICSW practice?

The practice location is 54 Plymouth Ave, Swampscott, MA 01907-1143. The office can be reached at 781-710-3420 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124509203 directly on the NPPES registry website.

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