Sandra Dougherty, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801089986 Issued in MI

Practice address

8062 Ortonville Rd
Clarkston, MI 48348-4456

Phone

(248) 625-2970

Fax

(248) 625-6829

NPI assigned

Jun 7, 2011

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

Enrolled in MI

Eligible to order & refer

• Part B services: No
• 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, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Clarkston Family Therapists LLC

  • Clinical Psychologist
  • Clarkston, MI
  • NPI 1326393752
  Medicare reassignment

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1831483874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8062 ORTONVILLE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484456",
            "telephone_number": "248-625-2970",
            "fax_number": "248-625-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8062 ORTONVILLE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484456",
            "telephone_number": "248-625-2970",
            "fax_number": "248-625-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "SANDRA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Marie Dodson, BEHAVIOR TECHNICIAN
• Donald K Nanney DDS PC
• Francis Michael Donnelly, PHD
• Olivia Donnelly, LLMSW
• Allison Danielle Dougherty, LPC
• Downriver Mental Health Clinic
• Downriver Mental Health Clinic PC
• Asha Downs, D.O.
• DPT Holdings LLC
• Dragonflyaway LLC

• Social Worker in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.