MS. CARISSA ANNE DOUGHERTY


Address: 4019 Manchaca Rd, Austin, TX 78704-6737
Phone: 5128043414

MS. CARISSA ANNE DOUGHERTY (NPI# 1285771865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285771865
Entity Type Individual
Full Name MS. CARISSA ANNE DOUGHERTY
Credential LCSW
Practice Address 4019 Manchaca Rd
Austin
TX 78704-6737
Mailing Address 1430 Collier St
Austin
TX 78704-2911
Practice Telephone 5128043414
Practice Fax Number 5124472213
Mailing Telephone 5124457787
Mailing Fax Number 5124404059
Enumeration Date 2007-01-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
36018 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4019 MANCHACA RD
City AUSTIN
State TX
Zip Code 78704-6737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982769170 Christine Anne Laguna Psychologist 4019 Manchaca Rd, Austin, TX 78704-6737 2006-12-27
1629556345 Eric Givan-gonzales Counselor 4019 Manchaca Rd, Austin, TX 78704-6737 2018-08-03
1265985014 Christopher Bonds Licensed Vocational Nurse 4019 Manchaca Rd, Austin, TX 78704-6737 2016-07-28
1972990950 Debra Hinojos Hernandez Licensed Practical Nurse 4019 Manchaca Rd, Austin, TX 78704-6737 2015-04-17
1821379967 Pamela Troester Counselor 4019 Manchaca Rd, Austin, TX 78704-6737 2011-09-02
1679863450 Austin Travis County Integral Care Community/Behavioral Health 4019 Manchaca Rd, Austin, TX 78704-6737 2011-04-13
1366740813 Austin Travis County Mhmr Center Clinic/Center 4019 Manchaca Rd, Austin, TX 78704-6737 2011-03-08
1265675417 Elizabeth A. Baker Social Worker 4019 Manchaca Rd, Austin, TX 78704-6737 2009-04-16
1821144783 Gayle L. Bandt Counselor 4019 Manchaca Rd, Austin, TX 78704-6737 2007-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801494018 340b Partners Pharmacy - Dallas LLC Pharmacy 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 2020-10-12
1740802206 Roots, Aba Therapy and Consulting Services LLC Behavioral Analyst 3715 S. 1st St, #464, Austin, TX 78704 2020-05-07
1447896071 Stefanie Van Hoose Mott Nurse Practitioner 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 2019-11-19
1902463219 Melanie Rabalais Lpc, Pllc Counselor 3111 Dickson Dr, Suite 33, Austin, TX 78704 2019-05-22
1023590866 Roberto Carlos Guerra Physical Therapy Assistant 2515 S Ih 35, Ste 320, Austin, TX 78704 2018-08-29
1750875118 Kristen Gabrielle Ferrante Dentist 2330 S Lamar Blvd, Austin, TX 78704 2018-06-19
1366944555 Beryl Hoelscher Registered Nurse 706 W Ben White Blvd Ste 233a, Austin, TX 78704 2018-03-02
1780103861 Remedy Pediatrics Pllc Pediatrics 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 2017-09-11
1285176172 Leah Nichole Burandt Physician Assistant 2512 S Interstate 35 Ste 310, Austin, TX 78704 2016-11-09
1659822690 Kristin Jarrett Physical Therapist 1524 S I-35, Suite 300, Austin, TX 78704 2016-10-14
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194326926 Janai June Bryan Social Worker 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 2020-11-06
1902405343 Elizabeth Arthur Thomas Social Worker 13128 Amarillo Ave, Austin, TX 78729-7557 2020-10-17
1821695610 My-emerge,pllc Social Worker 13740 Research Blvd # 0-4, Austin, TX 78750-1884 2020-10-05
1215544630 Emily Hackett Social Worker 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 2020-09-29
1386259364 Stefanie Nikole Burke Social Worker 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 2020-09-15
1326653692 Susan Malena Gallego Social Worker 106 Timber Ridge Cv, Austin, TX 78733-3136 2020-09-13
1588275663 Armando Sanchez Social Worker 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 2020-08-12
1861002594 Jeneke Lesak Social Worker 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 2020-08-06
1306456264 Abby Lubran Social Worker 6906 Langston Dr, Austin, TX 78723-2220 2020-08-05
1639788516 James Nichols Social Worker 12319 Willow Wild Dr, Austin, TX 78758-2725 2020-07-27
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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