AMANDA DOUGHERTY


Address: 1790 W 11th Ave, Eugene, OR 97402-3758
Phone: 5416862688

AMANDA DOUGHERTY (NPI# 1730728312) 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) 1730728312
Entity Type Individual
Full Name AMANDA DOUGHERTY
Practice Address 1790 W 11th Ave
Eugene
OR 97402-3758
Mailing Address 1798 Duke Ct
Eugene
OR 97401-8522
Practice Telephone 5416862688
Enumeration Date 2019-12-31
Last Update Date 2019-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers AMANDA DOUGHERTY

NPI Name Taxonomy Address Enumeration
1841255684 Amanda Dougherty Psychologist 3 Vine Ave Ne, Fort Walton Beach, FL 32548-5069 2006-04-17
1003382532 Amanda Adele Dougherty Behavior Technician 3826 Park Ave Ste 102, Edison, NJ 08820-2565 2018-10-23

Office Location

Street Address 1790 W 11TH AVE
City EUGENE
State OR
Zip Code 97402-3758

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174674329 Chris Jay Steele Counselor 1790 W 11th Ave, Eugene, OR 97402-3758 2007-01-15
1710536271 Caroline Hasbrook Assistant Behavior Analyst 1790 W 11th Ave, Eugene, OR 97402-3758 2019-09-08
1629625637 Anel Aguilar Social Worker 1790 W 11th Ave, Eugene, OR 97402-3758 2019-08-23
1275194367 Roy Brian Lohrke Behavior Technician 1790 W 11th Ave, Eugene, OR 97402-3758 2019-06-28
1609318260 William Woods II Social Worker 1790 W 11th Ave, Suite 200, Eugene, OR 97402-3758 2016-11-14
1417404161 Mariana Bonham Counselor 1790 W 11th Ave, Eugene, OR 97402-3758 2016-09-09
1558719849 Christy Mafoti Counselor 1790 W 11th Ave, Suite 200, Eugene, OR 97402 2016-05-27
1548617384 Sage Hatch Social Worker 1790 W 11th Ave, Suite 200, Eugene, OR 97402-3758 2016-05-23
1114374907 Jean Annette Reyes Counselor 1790 W 11th Ave, Eugene, OR 97402-3758 2016-05-21
1336596220 Danielle Gendreau Counselor 1790 W 11th Ave, Eugene, OR 97402-3758 2016-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538709704 Jordan Charles Smith Massage Therapist 775 Menroe St., Eugene, OR 97402 2020-01-15
1104462134 Cerridwen Laurel Martin Massage Therapist 775 Monroe St., Eugene, OR 97402 2019-11-25
1720556368 Valerie Jeanne Charles Massage Therapist 989 Throne Dr., Eugene, OR 97402 2018-11-12
1407324189 Laura Angulo Massage Therapist 1247 W 8th Ave Apt 10, Eugene, OR 97402 2018-11-11
1932687472 Karl Alan Porter Counselor 1195 City View St Ste B, Eugene, OR 97402 2018-08-06
1992283170 Fresenius Medical Care Dialysis Services - Oregon, LLC Clinic/Center 3747 W 11th Ave, Eugene, OR 97402 2018-07-31
1699251744 Isabella Arlo Jane Silver Counselor 970 W 7th Ave., Eugene, OR 97402 2018-07-12
1447740527 Shasta Tobi Cooke Behavioral Analyst 677 1/2 W 12th Ave, Eugene, OR 97402 2018-05-15
1497205306 Jenna Bracco Social Worker 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 2016-10-04
1871041392 Jeremy Powers Massage Therapist 882 Van Buren St, Eugene, OR 97402 2016-09-13
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942817028 Naomi Kramer Social Worker 3970 University St, Eugene, OR 97405-4624 2020-09-23
1942749411 Nicole Busse Social Worker 2001 Franklin Blvd Ste 3, Eugene, OR 97403-2097 2017-02-17
1437508801 Debra Depew Social Worker 72 A Centennial Loop, #150, Eugene, OR 97401 2016-06-07
1457700981 Matthew James Manser Social Worker 2411 Mlk Jr. Blvd., Eugene, OR 97401 2016-06-06
1033565718 Sabrina Botez I Social Worker 1677 Mill Aly Apt 2, Eugene, OR 97401-4155 2016-05-11
1710346184 Eva Rose Siegel Social Worker 1315 High Street Unit 5, Eugene, OR 97401 2016-02-15
1215305446 Nicole Brenneman Social Worker 101 W 5th Ave, Eugene, OR 97401-2603 2015-09-03
1659630283 Aimee Renee Walsh Social Worker 3411 Willamette St Ste A, Eugene, OR 97405-5109 2012-05-16
1164792933 Benjamin Luskin Social Worker 1510 Washington St, Eugene, OR 97401-3882 2012-01-10
1881974780 Amalia Sullivan Social Worker 1245 Pearl St Ste 201, Eugene, OR 97401-3564 2011-08-23
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Competitor

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City EUGENE
Zip Code 97402

Improve Information

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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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