Christina Dougherty LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHRISTINA DOUGHERTY LCSW

Practice address

1206 N Clark St
Los Angeles, CA 90069-2002

Phone

(813) 270-9335

NPI assigned

Apr 4, 2016

Last updated

Jul 28, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Dougherty, LCSW

Title

Owner

Phone

(424) 777-0985

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew McGahran, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1982670584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1386007425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N CLARK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900692002",
            "telephone_number": "813-270-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N CLARK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900692002",
            "telephone_number": "813-270-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA DOUGHERTY LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-777-0985",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033961110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Stuart Christie, MFT
• Julia Christie
• Sabrinah Ariane Christie
• Samantha Christie, RPH
• Christin Deronian DDS a Professional Corporation
• Christina M Ford, MD
• Christina M. McAlpin, MD. a Prof Corp
• Christina M. Warneck, M.D., Inc.
• Christine D Collins Apc& Ann Hofstadter MD Inc Med Pship
• Christine D Forest, M.D. Inc.

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.