Monique Nicole Doherty, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

225794 Issued in MA

Practice address

110 N Hillside Rd Ste 15
South Deerfield, MA 01373-9727

Phone

(413) 522-1009

NPI assigned

Dec 17, 2018

Last updated

Jun 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

  • Community/Behavioral Health Agency
  • Bellows Falls, VT
  • NPI 1396962742
  NPD (past)
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

  • Community/Behavioral Health Agency
  • Springfield, VT
  • NPI 1790861342
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1538630538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD STE 15",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739727",
            "telephone_number": "413-522-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD STE 15",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739727",
            "telephone_number": "413-522-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MONIQUE",
        "middle_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanta Paloma Cortez-Greig, LCSW
• Linda Crossman
• Sean James Dacus, D.O.
• Eileen A Daneri
• Barbara B Darthenay, LICSW
• Duarji M Rivas, LLC
• Melissa Leann Eich-Richardson
• Megan Farrick
• Marika Pers Faytell Grimm, PH.D.
• Marjorie Ferrini, RN, PC

• Clinical Social Worker in South Deerfield, MA
• Providers in South Deerfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.