Active NPI
Kaitlin Doherty, LSW, SCHOOLCOUNSELOR
- Social Worker
- Broadview HTS, OH
National Provider Identifier
1164825196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 8580 Northwood Dr
Broadview HTS, OH 44147-3420 - Phone
- (440) 554-2716
- NPI assigned
- Oct 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | OH | ||
| Social Worker | 104100000X | OH | Primary |
Addresses
Primary practice location
8580 Northwood Dr
Broadview HTS, OH 44147-3420
Mailing address
8580 Northwood Dr
Broadview HTS, OH 44147-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412467200000",
"number": "1164825196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8580 NORTHWOOD DR",
"city": "BROADVIEW HTS",
"state": "OH",
"postal_code": "441473420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8580 NORTHWOOD DR",
"city": "BROADVIEW HTS",
"state": "OH",
"postal_code": "441473420",
"telephone_number": "440-554-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "KAITLIN",
"credential": "LSW, SCHOOLCOUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2014-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.