Individual provider · Type 1 NPI

Evelyn Dougherty, LICSW

Clinical Social Worker · Jamaica Plain, MA

NPI number 1861539629 Active

Practice location

11 Green St
Jamaica Plain, MA 02130-2588

Mailing address

PO Box 300415
Jamaica Plain, MA 02130-0004

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X107476 (MA)

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 1861539629

Evelyn Dougherty, LICSW's National Provider Identifier is 1861539629, issued on Jan 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Mar 13, 2024.