MS. MICHELE JUDITH DOUGHERTY (NPI# 1962593020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962593020 |
| Entity Type | Individual |
| Full Name | MS. MICHELE JUDITH DOUGHERTY |
| Other Name | MS. MICHELE JUDITH MONTGOMERY |
| Credential | LCSW |
| Practice Address |
37053 Cherry Street Suite 204c Newark CA 94560-3785 |
| Practice Telephone | 5107390942 |
| Practice Fax Number | 5107976261 |
| Mailing Telephone | 5107390942 |
| Mailing Fax Number | 5107976261 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS13019 | CA | Behavioral Health & Social Service Providers |
| Street Address |
37053 CHERRY STREET SUITE 204C |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| 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 |
|---|---|---|---|---|
| 1992303051 | Nerlande Therlonge | Social Worker | 48 Bragaw Ave # 1, Newark, NJ 07112-1546 | 2020-10-12 |
| 1073121448 | Heart Matters LLC | Social Worker | 1018 N Barrett Ln, Newark, DE 19702-6912 | 2020-07-21 |
| 1851919229 | Jennifer Kristina Boyer | Social Worker | 12 Columbia Ave, Newark, NJ 07106-2102 | 2020-07-11 |
| 1609492131 | Jasmin Collazo | Social Worker | 555 Mount Prospect Ave Apt 12e, Newark, NJ 07104-1538 | 2020-06-20 |
| 1306479357 | Anne Louise Fordham | Social Worker | 1159 E Union St Apt 1, Newark, NY 14513-9201 | 2020-02-18 |
| 1528600392 | Sonia Mulero | Social Worker | 140 Bergen St Rm F-1772, Newark, NJ 07103-2425 | 2019-10-14 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1043868417 | Scott B Barnthouse Crc LLC | Social Worker | 419 Creek Bend Dr, Newark, DE 19711-3765 | 2019-08-29 |
| 1174176945 | The Winn-win Solution, LLC. | Social Worker | 262 Chapman Rd Ste 103, Newark, DE 19702-5418 | 2019-07-22 |
| 1669030045 | Lisa Gray | Social Worker | 2 Center St Apt 498, Newark, NJ 07102-4563 | 2019-05-31 |
| Find all providers in NEWARK | ||||
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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.