Active NPIIndividual provider

Mrs. Alisa M Doherty, LICSW

Social Worker, Clinical in Watertown, Massachusetts

NPI Number1902939069
Practice location
705 Mount Auburn St, Watertown, MA 02472
Fax
—
Last updated
August 13, 2018

Alisa Mary Doherty is a Social Worker, Clinical based in Watertown, MA. Alisa Mary Doherty practices in Watertown, MA and has the professional credentials of LICSW. The NPI Number for Alisa Mary Doherty is 1902939069 and holds a License No. CSW7213 (TN). The current practice location address for Alisa Mary Doherty is 705 Mount Auburn St, Watertown, MA 02472 and can be reached out via phone at 857-304-8401.

Provider Profile Details

NPI Number
1902939069
Provider Name
Alisa Mary Doherty
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
705 Mount Auburn St, Watertown, MA 02472
Phone Number
857-304-8401
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Alisa Mary Graceffa, LICSW, LCSW, CMSW (Former Name)
Provider Enumeration Date
March 14, 2007
Last Update Date
August 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
705 Mount Auburn St
Watertown, MA 02472
Zip
02472
Phone Number
857-304-8401
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
160 Summer St
Maynard, MA 01754-1056
City
Maynard
State
MA
Zip
01754-1056
Phone Number
978-495-1899

License Information

License Number (1)
CSW7213
License State (1)
TN
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (3)
117705
License State (3)
MA
Taxonomy (3)
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 Mrs. Alisa M Doherty, LICSW?

The NPI number of Mrs. Alisa M Doherty, LICSW is 1902939069. It was assigned on March 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Alisa M Doherty, LICSW?

Mrs. Alisa M Doherty, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in TN under license number CSW7213.

Where does Mrs. Alisa M Doherty, LICSW practice?

The practice location is 705 Mount Auburn St, Watertown, MA 02472. The office can be reached at 857-304-8401 (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 1902939069 directly on the NPPES registry website.

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