Individual provider · Type 1 NPI

Michele Judith Dougherty, LCSW

Clinical Social Worker · Newark, CA

NPI number 1962593020 Active

Practice location

37053 Cherry Street, Suite 204C
Newark, CA 94560-3785

Fax (510) 797-6261

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS13019 (CA)

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 1962593020

Michele Judith Dougherty, LCSW's National Provider Identifier is 1962593020, issued on Sep 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newark, CA. The record was last updated on Jul 8, 2007.