Individual provider · Type 1 NPI

Eleanor Louise Dougherty, LMSW-C/M.DCSW

Clinical Social Worker · Escanaba, MI

NPI number 1295715498 Active

Practice location

1341 N 26th St, Penstar Office Center Ste 103
Escanaba, MI 49829-2515

Fax (906) 217-2008

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X6801069892 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400X3446- 123 (WI)
Mental Health Counselor 101YM0800X6801069892 (MI)
Mental Health Counselor 101YM0800X3446- 123 (WI)
Professional Counselor 101YP2500X6801069892 (MI)
Professional Counselor 101YP2500X3446- 123 (WI)
Clinical Social Worker Primary 1041C0700X6801069892 (MI)
Clinical Social Worker 1041C0700X3446-123 (WI)
Marriage & Family Therapist 106H00000X6801069892 (MI)

Clinical Social Worker: 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 interpers…

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About NPI 1295715498

Eleanor Louise Dougherty, LMSW-C/M.DCSW's National Provider Identifier is 1295715498, issued on Jan 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Escanaba, MI. The record was last updated on Jan 7, 2010.