Individual provider · Type 1 NPI

Michele Doherty, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1982689451 Active

Practice location

633 Clove Rd
Staten Island, NY 10310-2736

Call (718) 727-5056 Map

Mailing address

25 Edstone Dr
Staten Island, NY 10301-3401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO27974-1 (NY)

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 1982689451

Michele Doherty, LCSW's National Provider Identifier is 1982689451, issued on Dec 7, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 13, 2026.