Michelle Rita Doherty, LCSW
Individual provider Active NPI Clinical Social Worker · New Canaan, CT
NPI 1821364514 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1821364514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 006910 (CT)
- Practice address
- 161 Cherry St
Voices of September 11TH
New Canaan, CT 06840-4827 - Phone
- (203) 966-3911
- Fax
- (203) 966-5701
- NPI assigned
- Mar 27, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006910 | CT | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006910 | CT | Yes |
Addresses
Primary practice location
161 Cherry St
Voices of September 11TH
New Canaan, CT 06840-4827
Mailing address
161 Cherry St
Voices of September 11TH
New Canaan, CT 06840-4827
Phone (203) 966-3911
Other providers in New Canaan, CT
- Erika Deutschlander
- Mark Steven Dewaele
- Eric John Dieffenbach
- Dil Figaro, LLC
- Abigail K Dixon
- Christopher Donato
- Robert F. Dubiel
- Sheila Duggan
- Corey Dybas
- Donna Marie Dyer
All providers in New Canaan, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. 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.