Active NPIIndividual provider

Tracy Daugherty, LICSW

Social Worker, Clinical in Watertown, Massachusetts

NPI Number1326513300
Practice location
705 Mount Auburn St, Watertown, MA 02472-1508
Fax
—
Last updated
October 5, 2018

Tracy Daugherty is a Social Worker, Clinical based in Watertown, MA. Tracy Daugherty practices in Watertown, MA and has the professional credentials of LICSW. The NPI Number for Tracy Daugherty is 1326513300 and holds a License No. 1032839-SW-LICSW (MA). The current practice location address for Tracy Daugherty is 705 Mount Auburn St, Watertown, MA 02472-1508 and can be reached out via phone at 617-972-9400.

Provider Profile Details

NPI Number
1326513300
Provider Name
Tracy Daugherty
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
705 Mount Auburn St, Watertown, MA 02472-1508
Phone Number
617-972-9400
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 5, 2018
Last Update Date
October 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
705 Mount Auburn St
Watertown, MA 02472-1508
Zip
02472-1508
Phone Number
617-972-9400
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
705 Mount Auburn St
Watertown, MA 02472-1508
City
Watertown
State
MA
Zip
02472-1508

License Information

License Number
1032839-SW-LICSW
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Tracy Daugherty, LICSW?

The NPI number of Tracy Daugherty, LICSW is 1326513300. It was assigned on October 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Tracy Daugherty, LICSW?

Tracy Daugherty, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1032839-SW-LICSW.

Where does Tracy Daugherty, LICSW practice?

The practice location is 705 Mount Auburn St, Watertown, MA 02472-1508. The office can be reached at 617-972-9400 (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 1326513300 directly on the NPPES registry website.

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