LORETTA JUNE DOUGHERTY (NPI# 1881945624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881945624 |
| Entity Type | Individual |
| Full Name | LORETTA JUNE DOUGHERTY |
| Practice Address |
80 N 31st St Clinton OK 73601-9116 |
| Mailing Address |
4400 N Lincoln Blvd Oklahoma City OK 73105-5104 |
| Practice Telephone | 5803239773 |
| Practice Fax Number | 5803230828 |
| Mailing Telephone | 5803239773 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
80 N 31ST ST |
| City | CLINTON |
| State | OK |
| Zip Code | 73601-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497018287 | Melanie N Benson | Counselor | 80 N 31st St, Clinton, OK 73601-9116 | 2012-06-18 |
| 1306496146 | Rebecca Kay Davidson | Case Manager/Care Coordinator | 80 N 31st St, Clinton, OK 73601-9116 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| Find all providers in zip 73601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758794 | Rachel Marie Hensley | Case Manager/Care Coordinator | 320 Red Frk, Clinton, OK 73601-3644 | 2020-10-19 |
| 1073121976 | Jackson Kerry England | Case Manager/Care Coordinator | 512 S 9th St, Clinton, OK 73601-4430 | 2020-07-16 |
| 1053945717 | Shannon Gautier | Case Manager/Care Coordinator | 209 Huntington Hill Dr, Clinton, MS 39056-6322 | 2020-03-02 |
| 1770124729 | Heart 2 Heart Industries | Case Manager/Care Coordinator | 1623 W 600 N, Clinton, UT 84015-8470 | 2019-10-01 |
| 1164079281 | Amber Dawn Cox | Case Manager/Care Coordinator | 1206 Orient Ave, Clinton, OK 73601-2756 | 2019-08-22 |
| 1982262101 | Timothy Cook | Case Manager/Care Coordinator | 604 Highway 80 W Ste Roffice2, Clinton, MS 39056-4108 | 2019-06-03 |
| 1487111902 | Leslie Washington | Case Manager/Care Coordinator | 9508 Plank Rd Ste C, Clinton, LA 70722-3701 | 2019-02-21 |
| 1841768009 | Khaila Nicoll Mitchell | Case Manager/Care Coordinator | 423 S 15th St, Clinton, OK 73601-4207 | 2018-11-06 |
| 1689169831 | Jordyn Taylor Laughlin | Case Manager/Care Coordinator | 2962 Serfass Rd, Clinton, OH 44216-9369 | 2018-06-28 |
| 1588160741 | United Care Homes | Case Manager/Care Coordinator | 11001 Sweet Gum Way, Clinton, MD 20735-3934 | 2018-04-04 |
| Find all providers in CLINTON | ||||
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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.