Elizabeth Mary Doherty, L.I.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9522 Issued in MN

Practice address

230 E Superior St
Suite 101
Duluth, MN 55802-2185

Phone

(218) 726-5433

Fax

(218) 279-2844

NPI assigned

Feb 26, 2007

Last updated

Jul 9, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740316389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E SUPERIOR ST",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022185",
            "telephone_number": "218-726-5433",
            "fax_number": "218-279-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E SUPERIOR ST",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022185",
            "telephone_number": "218-726-5433",
            "fax_number": "218-279-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Dock, DC
• Rebekah A Dockendorf, MSW, LICSW
• Journey J Dockham, PT
• Janice Esther Doe, RN, CNP
• Ann Elizabeth Doherty
• Maxwell James Doherty, MD
• Ella Dohlin, RN, CNS
• Jeanette L Dohnansky-Frank, WHCNP
• Susan M Dolph, LICSW
• Courtney Jo Donahoe, DO

• Mental Health Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.