Evelyn Dougherty, LICSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1861539629- Practice location
- 11 Green St, Jamaica Plain, MA 02130-2588
- Phone
- 617-862-8732
- Fax
- —
- Last updated
- March 13, 2024
Evelyn Dougherty is a Social Worker, Clinical based in Jamaica Plain, MA. Evelyn Dougherty practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Evelyn Dougherty is 1861539629 and holds a License No. 107476 (MA). The current practice location address for Evelyn Dougherty is 11 Green St, Jamaica Plain, MA 02130-2588 and can be reached out via phone at 617-862-8732.
Provider Profile Details
- NPI Number
- 1861539629
- Provider Name
- Evelyn Dougherty
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Green St, Jamaica Plain, MA 02130-2588
- Phone Number
- 617-862-8732
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 31, 2007
- Last Update Date
- March 13, 2024
- Certification Date
- March 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Green St
Jamaica Plain, MA 02130-2588 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2588
- Phone Number
- 617-862-8732
Provider Business Mailing Address Details
- Address
- Po Box 300415
Jamaica Plain, MA 02130-0004 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-0004
- Phone Number
- 617-862-8732
License Information
- License Number
- 107476
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Jamaica Plain, MA
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- Amy Vogt Counseling, LLCSocial Worker, Clinical · NPI 1528918083
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- Angela DepaolisSocial Worker, Clinical · NPI 1427405398
Frequently Asked Questions
What is the NPI number of Evelyn Dougherty, LICSW?
The NPI number of Evelyn Dougherty, LICSW is 1861539629. It was assigned on January 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Evelyn Dougherty, LICSW?
Evelyn Dougherty, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 107476.
Where does Evelyn Dougherty, LICSW practice?
The practice location is 11 Green St, Jamaica Plain, MA 02130-2588. The office can be reached at 617-862-8732 (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 1861539629 directly on the NPPES registry website.