Julianne Doughty, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082757-1 Issued in NY

Practice address

36 Edgar Ave
Brookhaven, NY 11719-9655

Phone

(631) 286-8282

Fax

(631) 803-6793

NPI assigned

Oct 6, 2008

Last updated

Sep 14, 2012By 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)

Not enrolled

State licenses

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.

• Southshore Counseling Mediation and Licensed Clinical Social Work Serv

  • Clinical Social Worker
  • Brookhaven, NY
  • NPI 1366684078
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1952552226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 EDGAR AVE",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199655",
            "telephone_number": "631-286-8282",
            "fax_number": "631-803-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EDGAR AVE",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199655",
            "telephone_number": "631-286-8282",
            "fax_number": "631-803-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "JULIANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082757-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cordaro
• Deborah Ann Cover
• Linda Noreen Culloty
• Noemie Daza, LMT
• Deborah Ann Deverall, LCSW
• Stephanie Marie Duff
• Muhammad Umer Farooq, M.B.B.S
• Federation of Organizations for the Ny State Mentally Disabled Inc
• Sharon Fullwood-Louis, RN
• Chris Genovese

• Clinical Social Worker in Brookhaven, NY
• Providers in Brookhaven, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.