MRS. LAURI DOUGHERTY


Address: 140 Captain Thomas Blvd, Suite 205, West Haven, CT 06516-5951
Phone: 2034445159

MRS. LAURI DOUGHERTY (NPI# 1184031700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184031700
Entity Type Individual
Full Name MRS. LAURI DOUGHERTY
Credential LICENSED CLINICAL SO
Practice Address 140 Captain Thomas Blvd
Suite 205
West Haven
CT 06516-5951
Mailing Address 1014 Pleasant Hill Rd
Orange
CT 06477-1116
Practice Telephone 2034445159
Practice Fax Number 2033784637
Mailing Telephone 2037992187
Mailing Fax Number 2033784637
Enumeration Date 2014-07-15
Last Update Date 2014-07-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
005554 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT LICENSED CLINICAL SOCIAL WORKER 005554 01

Office Location

Street Address 140 CAPTAIN THOMAS BLVD
SUITE 205
City WEST HAVEN
State CT
Zip Code 06516-5951

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956421 Thomas Lorbie Thomson IIi Nurse Practitioner Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 2020-06-12
1659911238 Claudine Pettigrew Social Worker 114-52 Boston Post Road, West Haven, CT 06516 2020-01-10
1811531544 Medical Center Pharmacy and Home Care Center, Inc. Pharmacy 600 Derby Avenue, West Haven, CT 06516 2019-11-06
1821649203 Michaela Lachance Physical Therapist 95 Campbell Ave, West Haven, CT 06516 2019-09-26
1295215739 Lisa Marie Litrenta Social Worker 114-152 Boston Post Rd, #2, West Haven, CT 06516 2018-08-15
1386121895 Theresa Boateng Homemaker 150 Shingle Hill Rd, West Haven, CT 06516 2018-07-26
1902383458 Bianca Gondek Social Worker 114-152 Boston Post Rd #2, West Haven, CT 06516 2018-07-26
1790279172 Blanca L. Paccha Nurse Practitioner 950 Campbell Ave Bldg 2b, West Haven, CT 06516 2018-06-19
1184133597 Lotus Counseling Services LLC Counselor 101 White St, West Haven, CT 06516 2017-09-28
1053867283 Alesia Wellington Social Worker 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 2016-08-28
Find all providers in zip 06516

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659911238 Claudine Pettigrew Social Worker 114-52 Boston Post Road, West Haven, CT 06516 2020-01-10
1659868685 Yarrow Therapy and Counseling Services Social Worker 2835 W 2050 S, West Haven, UT 84401-2121 2018-04-16
1730626045 Monique Simone Social Worker 8 Island Ln, West Haven, CT 06516-6200 2017-01-24
1053867283 Alesia Wellington Social Worker 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 2016-08-28
1083015044 Shelby Bonini Social Worker 330 Savin Ave Apt 75, West Haven, CT 06516-5859 2014-09-09
1184052631 Lara Landino Social Worker 61 Donald St, West Haven, CT 06516-2506 2013-10-21
1356773097 Susan J. Kelly Social Worker 31 Ownly Ave, West Haven, CT 06516-1245 2013-08-05
1356786719 Preston Maynard Social Worker 114-152 Boston Post Road, West Haven, CT 06516 2013-04-30
1598015208 Mercury Medical Social Worker 171 Grove Pl, West Haven, CT 06516-6438 2012-09-11
1912275447 Karen Dodd Social Worker 2459 S Laurel St, West Haven, UT 84401-7081 2011-12-12
Find all providers in WEST HAVEN

Competitor

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City WEST HAVEN
Zip Code 06516

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Dataset Information

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.

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