MS. SHARON MARIE DOUGHERTY (NPI# 1346676707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346676707 |
| Entity Type | Individual |
| Full Name | MS. SHARON MARIE DOUGHERTY |
| Credential | RN, LCSW-R |
| Practice Address |
1250 William Floyd Parkway Shirley NY 11967 |
| Mailing Address |
994 W Jericho Tpke Ste 202 Smithtown NY 11787-3234 |
| Practice Telephone | 6319133526 |
| Mailing Telephone | 6319133526 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R040221 | NY | Behavioral Health & Social Service Providers |
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
3709361 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760519581 | Sharon Dougherty | Speech-Language Pathologist | 61 Route 27 # 107, Raymond, NH 03077-1273 | 2007-02-28 |
| Street Address |
1250 WILLIAM FLOYD PARKWAY |
| City | SHIRLEY |
| State | NY |
| Zip Code | 11967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149744 | Dawn Kirby | Licensed Practical Nurse | 8 Crestwood Drive, Shirley, NY 11967 | 2018-10-03 |
| 1538684451 | Crystal E Gambles | Licensed Practical Nurse | 502 Wellwood Drive, Shirley, NY 11967 | 2017-08-11 |
| 1003330887 | Aura Blum Care, Inc | Licensed Practical Nurse | 436 Auborn Av, Shirley, NY 11967 | 2017-08-02 |
| 1891239687 | Holly Scott-rodriguez | Behavior Technician | 57 Probst Drive, Shirley, NY 11967 | 2016-12-13 |
| 1487106357 | Joann C Duran | Licensed Practical Nurse | 320 Decatur Avenue, East Yaphank, NY 11967 | 2016-10-26 |
| 1053776815 | Andrea Janet Murphy-hamilton | Registered Nurse | 369 Puritan Dr., N Shirley, NY 11967 | 2015-12-22 |
| 1588039598 | Thomas B Maher | Student in an Organized Health Care Education/Training Program | 483 West End Ave., Shirley, NY 11967 | 2015-12-02 |
| 1083964241 | Charlotte Dametra Fleming | Licensed Practical Nurse | 420 Lakepointe Drive, Middleisland, NY 11967 | 2012-09-14 |
| 1982954277 | Sefika Dimaggio | Registered Nurse | 32 Candido Ave, Shirley, NY 11967 | 2012-09-13 |
| 1184974511 | Kelly Jean Gormley | Licensed Practical Nurse | 6 Rockledge Drive, Shirley, NY 11967 | 2012-09-13 |
| Find all providers in zip 11967 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477943637 | Tamara Elizabeth Perini | Social Worker | 20 Fredonian Street, Shirley, MA 01464-1144 | 2015-01-27 |
| 1861893984 | Scott Andrew Johnson | Social Worker | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 | 2014-09-08 |
| 1225466550 | Jay A Hart | Social Worker | 91 Oak Ave, Shirley, NY 11967-1903 | 2013-10-23 |
| 1053556613 | Linda Ann Santanello | Social Worker | 464-10 William Floyd Parkway, Shirley, NY 11967 | 2008-12-11 |
| 1033354626 | Robert H. Chmielewski | Social Worker | 464-10 William Floyd, Shirley, NY 11967 | 2008-12-10 |
| 1619112471 | Cheryl J. Warner | Social Worker | 464-10 William Floyd Pkwy, Shirley, NY 11967 | 2008-12-09 |
| 1184785644 | Kathleen M Reardon | Social Worker | 2 Shaker Rd, Ste D216, Shirley, MA 01464-2561 | 2006-12-12 |
| 1134290521 | Philip Joachim Antz | Social Worker | 470 Starlight Dr, Shirley, NY 11967-1221 | 2006-11-10 |
| 1851483879 | Susan Byrne | Social Worker | 1490 Wm Floyd Parkway, Shirley, NY 11980 | 2006-09-28 |
| 1104894476 | Nicole S Leblanc | Social Worker | 162b Ayer Rd, Shirley, MA 01464-2518 | 2006-03-10 |
| Find all providers in SHIRLEY | ||||
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| 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.