Deanna Rose Doherty, LMSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1336780295
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1336780295
- Entity type
- Individual (NPI-1)
- Name
- Deanna Rose Doherty
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2019
- Certification date
- Jul 9, 2024
- Last updated
- Jul 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 111618 | NY | Yes |
| 1041C0700X | Social Worker, Clinical | 09788301 | – |
Practice location
767 Broadway#1327
New York, NY 10003
Phone 781-664-0647
Mailing address
767 BroadwayPo Box #1327
New York, NY 10003
Phone 781-664-0647
Other practice locations
351 Fairview Ave Suite 500
Hudson, NY 12534
Hudson, NY 12534
Phone 845-768-2295
205 High Street
Milford, CT 06460
Milford, CT 06460
Phone 203-874-6270
501 Lombard St
New Haven, CT 06513-2910
New Haven, CT 06513-2910
Phone 203-787-2207
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