Active NPI
Laura Gay Doherty, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1366996456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095394
- Practice address
- 41 E 11TH St
4TH Floor
New York, NY 10003-4602 - Phone
- (973) 229-6803
- NPI assigned
- Aug 7, 2016
- Last updated
- Aug 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095394 | NY | Primary |
Addresses
Primary practice location
41 E 11TH St
4TH Floor
New York, NY 10003-4602
Mailing address
33 Broadview Ter
Chatham, NJ 07928-1826
Phone (973) 229-6803
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095394 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470528000000",
"number": "1366996456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BROADVIEW TER",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079281826",
"telephone_number": "973-229-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E 11TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034602",
"telephone_number": "973-229-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "LAURA",
"middle_name": "GAY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-07",
"last_updated": "2016-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.