PATRICIA DOHERTY, LICSW, PLC


Address: 1205 North Ave, Burlington, VT 05408-2804
Phone: 8024895665

PATRICIA DOHERTY, LICSW, PLC (NPI# 1760924450) 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) 1760924450
Entity Type Organization
Organization Name PATRICIA DOHERTY, LICSW, PLC
Practice Address 1205 North Ave
Burlington
VT 05408-2804
Practice Telephone 8024895665
Mailing Telephone 8024895665
Enumeration Date 2016-11-10
Last Update Date 2016-11-10
Authorized Official Name PATRICIA JUDITH DOHERTY (PSYCHOTHERAPIST)
Authorized Official Telephone 8028256910
Authorized Official Credential LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
89.0000877 VT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VT 1023503 05

Office Location

Street Address 1205 NORTH AVE
City BURLINGTON
State VT
Zip Code 05408-2804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811955081 Appletree Bay Physical Therapy, Inc Physical Therapist 1205 North Ave, Burlington, VT 05408-2751 2006-05-03
1023635182 Erin Michelle Leighton Nurse Practitioner 1205 North Ave, Burlington, VT 05408-2804 2020-07-06
1326662438 Daniel Johannes Weise Nurse Practitioner 1205 North Ave, Burlington, VT 05408-2804 2020-06-04
1679986327 University of Vermont Nursing and Health Sciences Practice Group Nurse Practitioner 1205 North Ave, Appletree Bay Primary Care, Burlington, VT 05408-2804 2014-06-10
1619214574 Caroline Tassey Plc Nurse Practitioner 1205 North Ave, Burlington, VT 05408-2804 2013-01-12
1780812750 Emily Decker Physical Therapist 1205 North Ave, Burlington, VT 05408-2751 2009-06-29
1235320144 Meghan Gibbo Physical Therapist 1205 North Ave, Burlington, VT 05408-2751 2007-08-06
1699789693 Landry & Brandes Md's Plc Internal Medicine 1205 North Ave, Burlington, VT 05408-2751 2006-07-28
1508881947 Beth Bowen Physical Therapist 1205 North Ave, Burlington, VT 05408 2006-07-13
1700810413 Daniel Curry Physical Therapist 1205 North Ave, Burlington, VT 05408 2006-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164913661 Lauren Shana Donovan Social Worker 102 Loaldo Drive, Burlington, VT 05408 2018-05-21
1295920213 Loreen R Croker Spec/Tech, Pathology 233 Sandra Circle, Burlington, VT 05408 2007-09-12
1972536183 Jeffrey Warren Rubman Internal Medicine 1205 North Avenue, Burlington, VT 05408 2006-07-09
1992761837 Michelle L Perron Pediatrics 1127 North Ave Ste 41, Burlington, VT 05408 2006-04-20
1457767410 Courtney A Walker Nurse Practitioner 1127 North Ave Ste 41, Burlington, VT 05408 2014-07-10
1396850863 Michael Floyd Watson Counselor 1205 North Avenue, Burlington, VT 05408 2006-08-21
1851825111 Kristen Smith Speech-Language Pathologist 198 Sandra Cir, Burlington, VT 05408-1033 2017-04-13
1588701056 Jonathan Scott Strenio Family Medicine 96 Morrill Dr, Burlington, VT 05408-1112 2007-01-31
1730789686 Paige Perkins Licensed Practical Nurse 5 Hardy Ave, Burlington, VT 05408-1203 2020-10-29
1306834007 Joyce A. Walsleben Psychologist 61 Northshore Dr, Burlington, VT 05408-1262 2005-10-07
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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
1376167528 Diana Keenan Social Worker 125 Saint Paul St Ste 106, Burlington, VT 05401-8462 2020-06-03
1538798491 Earthside Counseling, LLC Social Worker 337 College St Ste 201, Burlington, VT 05401-8344 2020-04-03
1659902393 Otis Lamonte Roberson II Social Worker 2008 S Mebane St Apt E, Burlington, NC 27215-7614 2020-01-31
1053963512 Cassie Oxendine Price Social Worker 1708 S Mebane St Ste 302, Burlington, NC 27215-6591 2019-07-15
1497219653 Innovative Family Therapy & Play Therapy Center LLC Social Worker 409 N 4th St Ste 108, Burlington, IA 52601-5255 2019-01-22
1013485788 Deborah Smulian-siegel Social Worker 26 Beacon St Apt 3e, Burlington, MA 01803-3804 2018-11-10
1821564394 Aya Inoue Social Worker 41 Main St Ste 1, Burlington, VT 05401-8431 2018-10-22
1154806131 Janelle Ann Linskey Social Worker 5 Ruping Dr, Burlington, MA 01803-1818 2018-09-26
1427530955 Emily Staecker Social Worker 9 Brown Ave, Burlington, MA 01803-3910 2018-08-31
1558842500 Vincent Dirienzo Social Worker 6 Wildwood Ln, Burlington, MA 01803-1424 2018-08-28
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Competitor

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City BURLINGTON
Zip Code 05408

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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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