TRACY DAUGHERTY


Address: 705 Mount Auburn St, Watertown, MA 02472-1508
Phone: 6179729400

TRACY DAUGHERTY (NPI# 1326513300) 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) 1326513300
Entity Type Individual
Full Name TRACY DAUGHERTY
Credential LICSW
Practice Address 705 Mount Auburn St
Watertown
MA 02472-1508
Practice Telephone 6179729400
Enumeration Date 2018-10-05
Last Update Date 2018-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1032839-SW-LICSW MA Behavioral Health & Social Service Providers

Other Providers TRACY DAUGHERTY

NPI Name Taxonomy Address Enumeration
1427174226 Tracy Ann Daugherty Physical Therapy Assistant 200 N Emerald Ln Ste 1a, Carbondale, IL 62901-2100 2007-03-22

Office Location

Street Address 705 MOUNT AUBURN ST
City WATERTOWN
State MA
Zip Code 02472-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972570844 May S Chin Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2006-03-01
1780167270 Anne Essaran Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-09-11
1609356492 Amber Gaia Silverman Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-08-21
1235619867 Carmel Toomey Steger Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-08-14
1083122162 Erin Terkoski Young Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-01-11
1447767082 Melody Rose Chappel Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2018-01-04
1437558657 Jennifer Souza Nurse Practitioner 705 Mount Auburn St, Watertown, MA 02472-1508 2014-08-14
1356628184 Healthworks Med Group of Massachusetts P C Clinic/Center 705 Mount Auburn St, Watertown, MA 02472-1508 2011-11-08
1700165347 Jaclyn Lavigne Social Worker 705 Mount Auburn St, Watertown, MA 02472 2011-08-14
1285863548 Elyse Rokos Social Worker 705 Mount Auburn St, Watertown, MA 02472-1508 2009-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548735327 Gladys Nakungu Kasansula Counselor Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 2018-10-09
1447741962 Hannah Edward Optometrist 550 Arsenal Street, Watertown, MA 02472 2018-05-21
1982193504 Ruth Audrey Silverstein Social Worker Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 2018-05-09
1376067355 Mostafa Medhati Acupuncturist 265 Lexington St., Watertown, MA 02472 2017-08-01
1003346313 Eric Trant Specialist/Technologist 50 Columbia Street, Watertown, MA 02472 2017-06-19
1477007730 Neangkanika Chea Nurse Practitioner 2 Repton Place, Apt 2204, Watertown, MA 02472 2016-08-04
1396128120 Michelle Soares Darocha Dentist 18 Hovey Street, Watertown, MA 02472 2015-06-29
1760875496 Ece Evin Yildirim Acupuncturist 557 Mt. Auburn St, Watertown, MA 02472 2015-03-05
1396140927 Fabrizia Torazzi Behavioral Analyst 51 Water Street, Suite 200, Watertown, MA 02472 2014-10-24
1265774392 Emilia Ann Fulop Social Worker 127 North Beacon Street, Watertown, MA 02472 2013-03-27
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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
1841822319 Amanda Whitney Lasko Gross Social Worker 210 Belmont St Apt 10, Watertown, MA 02472-3557 2020-02-12
1568094902 New Beginnings Counseling LLC Social Worker 51 Echo Lake Rd, Watertown, CT 06795-2638 2020-02-04
1841821477 Sarah J Fredrich Social Worker 312 E Main St Ste 210, Watertown, WI 53094-3755 2020-02-02
1598237042 Ryan Lawlor Social Worker 37 Carmel Hill Rd, Watertown, CT 06795-2437 2018-12-21
1942779996 Julie Kong Social Worker 29 Pilgrim Rd, Watertown, MA 02472-2255 2018-11-20
1831674845 Joanna Brownstein Social Worker 29 Warren St, Watertown, MA 02472-3651 2018-09-26
1871078758 Carolyn Hanke Social Worker 262 Main St Apt 1, Watertown, MA 02472-4308 2018-09-26
1043792039 Francis Xavier Galligan Social Worker 14 Grandview Ave, Watertown, MA 02472-1790 2018-09-05
1265913362 Natalie Lang Social Worker 14 Morton St, Watertown, MA 02472-2249 2018-08-27
1154809473 Elaine L Sherwood Social Worker 705 Mount Auburn St Fl 4, Watertown, MA 02472-1508 2018-07-30
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Competitor

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City WATERTOWN
Zip Code 02472

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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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