ADAM J DOHERTY (NPI# 1588916118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588916118 |
| Entity Type | Individual |
| Full Name | ADAM J DOHERTY |
| Credential | LCSW |
| Practice Address |
2001 S Shields St Building K Fort Collins CO 80526-1827 |
| Mailing Address |
125 Crestridge St Fort Collins CO 80525-3934 |
| Practice Telephone | 9704944200 |
| Practice Fax Number | 9703469800 |
| Mailing Telephone | 9704949761 |
| Mailing Fax Number | 9703469800 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW-9923048 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2001 S SHIELDS ST BUILDING K |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863085 | Spring Creek Medical Park Outpatient Surgery Center LLC | Clinic/Center | 2001 S Shields St, Bldg F, Fort Collins, CO 80526-1827 | 2005-06-30 |
| 1255976098 | Ricky Davis | Peer Specialist | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2019-11-15 |
| 1528515616 | Sariah R Collard | Counselor | 2001 S Shields St, Fort Collins, CO 80526-1827 | 2016-09-06 |
| 1881017366 | Healing Warriors Program | Voluntary or Charitable | 2001 S Shields St, Building L, Fort Collins, CO 80526-1827 | 2014-02-04 |
| 1053747311 | Wendy Fleagane | Counselor | 2001 S Shields St, Bldg K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1760818025 | Kirsten Goffena | Counselor | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2013-09-18 |
| 1689012825 | Robert Larson Od PC | Optometrist | 2001 S Shields St, Ste. B-3, Fort Collins, CO 80526-1827 | 2013-06-10 |
| 1407299803 | Noel C Jensen | Acupuncturist | 2001 S Shields St, Ste H101, Fort Collins, CO 80526-1827 | 2013-04-16 |
| 1982956215 | Kelly J Keeler | Behavioral Analyst | 2001 S Shields St, Building K, Fort Collins, CO 80526-1827 | 2012-10-10 |
| 1750669289 | Lindsey Louise Cosper | Dentist | 2001 S Shields St, Bldg C-1, Fort Collins, CO 80526-1827 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| 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 |
|---|---|---|---|---|
| 1144821364 | Faith Nielsen | Social Worker | 812 Mcgraw Dr, Fort Collins, CO 80526-3977 | 2020-11-04 |
| 1073112223 | Sarah Laub | Social Worker | 2620 Red Fox Ct, Fort Collins, CO 80526-5285 | 2020-10-20 |
| 1427661164 | Nicholas Boeder - Lcsw | Social Worker | 3921 Bingham Hill Rd, Fort Collins, CO 80521-1025 | 2020-08-24 |
| 1629680202 | Amber Kelly Franzel | Social Worker | 1501 Blue Spruce Dr, Fort Collins, CO 80524-2004 | 2020-08-17 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1376176099 | Cassie Marie Cyr | Social Worker | 1523 Silvergate Rd, Fort Collins, CO 80526-3302 | 2020-02-21 |
| 1659927309 | Ann Robinson | Social Worker | 2431 Cheviot Dr, Fort Collins, CO 80526-1479 | 2019-08-16 |
| 1013475748 | A Life Empowered, LLC | Social Worker | 612 Powderhorn Dr, Fort Collins, CO 80526-2607 | 2019-03-12 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1447733266 | Jessica R Mady | Social Worker | 418 Dunne Dr, Fort Collins, CO 80525-5847 | 2018-09-07 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on ADAM J DOHERTY.
| 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.