Active NPI
Daniel Joseph Dougherty, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1548302730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002180
- Practice address
- 8203 Fredonia Rd
Garden Cottage Counseling
Richmond, VA 23227-1533 - Phone
- (804) 264-3047
- Fax
- (804) 264-3047
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002180 | VA | Primary |
Addresses
Primary practice location
8203 Fredonia Rd
Garden Cottage Counseling
Richmond, VA 23227-1533
Mailing address
8203 Fredonia Rd
Garden Cottage Counseling
Richmond, VA 23227-1533
Phone (804) 264-3047
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263148-000 | Other | VA | MAGELLAN |
| 110311 | Other | VA | ANTHEM |
| 4945131 | Other | VA | VIRGINIA PREMIER |
| 7110641 | Other | VA | MAMSI |
| 085692 | Other | VA | SENTARA |
| 800001306 | Other | VA | MEDICARE |
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 |
|---|---|---|---|
| 0904002180 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1548302730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 FREDONIA RD",
"address_2": "GARDEN COTTAGE COUNSELING",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271533",
"telephone_number": "804-264-3047",
"fax_number": "804-264-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8203 FREDONIA RD",
"address_2": "GARDEN COTTAGE COUNSELING",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271533",
"telephone_number": "804-264-3047",
"fax_number": "804-264-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "263148-000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "110311",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "4945131",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "7110641",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "085692",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "800001306",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.