Patrick B Doherty, LMSW

Individual provider Active NPI Clinical Social Worker · Hatch, NM

NPI 1093692352 · NPPES record last updated Aug 19, 2025

Key facts

NPI
1093692352
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SWB-2025-0848 (NM)
Practice address
255 Highway 187
Hatch, NM 87937-7001
Phone
(575) 267-3088
NPI assigned
Aug 19, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SWB-2025-0848NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2025-0848 NM Yes

Addresses

Primary practice location

255 Highway 187
Hatch, NM 87937-7001

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Other providers in Hatch, NM

All providers in Hatch, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.