Joseph Mark Doherty

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1057 E Coldwater Rd
Flint, MI 48505-1501

Phone

(810) 257-3705

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Genesee Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
  • NPI 1043554348
  NPD (past)
• Genesee Health System

  dba Genesee Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1962140137
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1942973342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22303 CHARTER OAKS DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233325",
            "telephone_number": "989-413-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E COLDWATER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485051501",
            "telephone_number": "810-257-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "jdoherty@swcrk.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1057 E Coldwater Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485051501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Dodds
• Jennifer Victoria Dodge
• Sloan Dodge
• Ranjith Dodla, MD
• Darlene Kay Doerscher, MA, LLP
• Someswara Rao Dokku, PHARMACIST
• David William Dolan, DDS, MS
• Jeremy Dollinger
• John Baistad Dolven, DO
• Arlyn Suzette Dominguez Cordova

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.