CHRISTINE DOUGHERTY (NPI# 1003194960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003194960 |
| Entity Type | Individual |
| Full Name | CHRISTINE DOUGHERTY |
| Credential | LCSW |
| Practice Address |
1000 Vale Terrace Dr Vista CA 92084-5218 |
| Practice Telephone | 7606315000 |
| Mailing Telephone | 7606315000 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
26686 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609286319 | Christine Dougherty | Physical Therapist | 604 Commons Dr Ste D-3, Oxford, PA 19363-1223 | 2014-05-02 |
| 1497389456 | Christine Dougherty | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-02-28 |
| 1942711627 | Christine E Dougherty | Behavioral Analyst | 5 Raven Ln, Lakewood, NJ 08701-4968 | 2017-10-20 |
| 1447591219 | Christine Dougherty | Physical Therapist | 5700 Merrick Rd, Massapequa, NY 11758-6221 | 2013-03-04 |
| Street Address |
1000 VALE TERRACE DR |
| City | VISTA |
| State | CA |
| Zip Code | 92084-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575888 | Debra S Edson | Dentist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2005-08-16 |
| 1366053548 | Julie Ann Mistretta | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-08-12 |
| 1528686318 | Nienke Aiko Sahelijo | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-07-08 |
| 1457995706 | Kaliana Chamberlin | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-10-30 |
| 1609423342 | Mary Ann Parales | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-08-19 |
| 1083268023 | An Nhi Thi Vo | Pharmacist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-07-29 |
| 1508427899 | Sara Tousi | Social Worker | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-06-26 |
| 1316501562 | Vista Community Clinic | Case Manager/Care Coordinator | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-04-23 |
| 1205391703 | Olga R Jackson | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-02-08 |
| 1942776166 | Angelica Aguilera Fox | Dental Hygienist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
| Find all providers in zip 92084 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053763623 | Renee Susette Miles | Social Worker | 1907 Stonewall Ln, Vista, CA 92084-4229 | 2016-07-07 |
| 1629434865 | Mcalister Institute for Treatment & Education, Inc. | Social Worker | 1601 Longhorn Dr, Vista, CA 92081-5423 | 2016-01-04 |
| 1750785390 | Darcel Mulholland | Social Worker | 217 Civic Center Dr, Suite 4, Vista, CA 92084-6173 | 2014-10-10 |
| 1407156979 | Elizabeth Kovack Krantz | Social Worker | 760 Shadowridge Dr, Vista, CA 92083-7986 | 2010-10-29 |
| 1669656294 | Halima Elizabeth Martelli | Social Worker | 1049 Crest View Rd, Vista, CA 92081-6806 | 2007-12-18 |
| 1629258215 | Raechel Meredith Butterfield, Lcsw | Social Worker | 1020 S Santa Fe Ave, Vista, CA 92084-7000 | 2007-11-12 |
| 1235337965 | Cynthia Jean Halpin Brown | Social Worker | 524 W Vista Way, Vista, CA 92083-5704 | 2007-07-03 |
| 1477600195 | Constance A Collins | Social Worker | 410 S Melrose Dr Ste 222, Vista, CA 92081-6607 | 2007-01-04 |
| 1649372442 | Deborah Mccoy | Social Worker | 450 S Melrose Dr, Ste 106, Vista, CA 92081-6664 | 2006-09-02 |
| 1447270954 | Beth-ann Vealey | Social Worker | 2120 Thibodo Ct., Suite 230, Vista, CA 92081-0000 | 2006-07-20 |
| Find all providers in VISTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.