Megan Dougherty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113892 Issued in CA

Practice address

3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954

Phone

(858) 966-5832

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932755741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231954",
            "telephone_number": "858-966-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031407",
            "country_code": "US",
            "telephone_number": "619-876-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Redondo Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062325",
            "country_code": "US",
            "telephone_number": "213-972-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Dougherty, DPT
• Colin M. Dougherty, MD
• Heather Tiffany Dougherty, MSN RN PMHNP-BC
• Jessica Rose Dougherty, M.D.
• Joshua Don Dougherty, PMHNP
• Floyd Arthur Doughty, M.D.
• Marley Doughty
• Douglas Baker Marriage and Family Therapy, Inc.
• Douglas Crowley MD, Inc
• Douglas Dobecki, Medical Doctor, Incorporated (San Diego Pain Institute)

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.