Carole Lynn Merritt Doherty, LMSW
Individual provider Active NPI Clinical Social Worker · Kalkaska, MI
NPI 1487793147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487793147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801057167 (MI)
- Practice address
- 509 N Birch St
Kalkaska, MI 49646-8414 - Phone
- (231) 258-5133
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Community Mental Health | Past |
Accepting new patients | |
| District Health Department No 10 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801057167 | MI | Yes |
Addresses
Primary practice location
509 N Birch St
Kalkaska, MI 49646-8414
Mailing address
5128 Meadowlark LN
Williamsburg, MI 49690-8622
Phone (231) 624-0091
Other providers in Kalkaska, MI
- Michelle Marsh
- Carolyn Goodrich Martin
- Joe McAdam
- Leanne McAfee
- Nicole McGlinchey
- Whitney Ashton Mervau
- Aneta Michalczuk
- Kimberly Anne Michels
- Patricia Michutka
- James Grawn Milliken
All providers in Kalkaska, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.