Emily Doggett, LCSW
Individual provider Active NPI Clinical Social Worker · Centerport, NY
NPI 1124897160 · NPPES record last updated Jan 1, 2024
Key facts
- NPI
- 1124897160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 086405-01 (NY)
- Practice address
- 21 Lakeside Dr
Centerport, NY 11721-1513 - Phone
- (917) 855-7302
- NPI assigned
- Jan 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086405-01 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 086405-01 | NY | Yes |
Addresses
Primary practice location
21 Lakeside Dr
Centerport, NY 11721-1513
Mailing address
21 Lakeside Dr
Centerport, NY 11721-1513
Phone (917) 855-7302
Other providers in Centerport, NY
- David J Pincus MD
- Mary Beth Denniston
- Kerin Ann Desena
- Barbara Desiderio
- Angela Dinatale
- Susan Dolan
- Elizabeth Driver
- Jennifer Noel Duffy
- Jillian Marie Elvidge
- Ernest C. Chisena, M.D.,P.C.
All providers in Centerport, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.