Individual provider Active NPI

Lucy E Doherty, LICSW

  • Clinical Social Worker
  • New Durham, NH
National Provider Identifier
1639471089
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
765 Issued in NH
Practice address
336 S Shore Rd
New Durham, NH 03855-2120
Phone
(603) 759-1491
NPI assigned
Nov 17, 2010
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 765 NH Primary

Addresses

Primary practice location

336 S Shore Rd
New Durham, NH 03855-2120

Mailing address

PO Box 504
New Durham, NH 03855-0504
Phone (603) 759-1491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20111215000129 NH Practitioner - Clinical Social Worker 2668647942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Buckskin LN
North Hampton, NH 03862-2058
Phone (603) 759-1491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
765NHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucy E. Doherty Licsw LLC Clinical CurrentSince Feb 10, 2013 Accepting new patients
Monadnock OBGYN Associates PA PastSince Oct 18, 2004 Accepting new patients

Locations

454 Old Street Rd
Ste 302
Peterborough, NH 03458
Phone (603) 759-1491

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1639471089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "NEW DURHAM",
            "state": "NH",
            "postal_code": "038550504",
            "telephone_number": "603-759-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S SHORE RD",
            "city": "NEW DURHAM",
            "state": "NH",
            "postal_code": "038552120",
            "telephone_number": "603-759-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "LUCY",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Durham, NH

Sources for this page

Verify at the official NPI Registry.