Christin Dougherty, LCSW in Fairfax, VA - Medicare Clinical Social Worker Provider

Christin Dougherty, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairfax, Virginia. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northern Virginia Older Adult Counseling and her current practice location is 4031 University Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (888) 978-3801.

Christin Dougherty is licensed to practice in Virginia (license number 0904010717) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144796061.

Contact Information

	Christin Dougherty, LCSW
	4031 University Dr, Fairfax, VA 22030-3409
	(888) 978-3801
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christin Dougherty
Gender	Female
Speciality	Clinical Social Worker
Experience	21 Years
Location	4031 University Dr, Fairfax, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Christin Dougherty graduated from medical school in 2003

NPI Data:

NPI Number: 1144796061
Provider Enumeration Date: 10/18/2018
Last Update Date: 10/18/2018

Medicare PECOS Information:

PECOS PAC ID: 3678819711
Enrollment ID: I20190110003433

Medical Identifiers

Medical identifiers for Christin Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144796061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904010717 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Virginia Older Adult Counseling	5294039608	17

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christin Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Northern Virginia Older Adult Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831569896 PECOS PAC ID: 5294039608 Enrollment ID: O20160205000052

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christin Dougherty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christin Dougherty, LCSW 11751 Mossy Creek Ln, Reston, VA 20191-2950 Ph: (703) 727-2747	Christin Dougherty, LCSW 4031 University Dr, Fairfax, VA 22030-3409 Ph: (888) 978-3801

Reviews and Comments

Social Worker in Fairfax, VA

Ms. Diana Marcela Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 Phone: 703-321-2687
Cherelle Monea' Washington, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 415-424-4266 Fax: 415-520-6633
Trisha Marie Hindy Burks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000
Mrs. Irene Carol Ilachinski, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10400 Eaton Pl, Ste 200, Fairfax, VA 22030 Phone: 703-497-1771 Fax: 703-497-1225
Ms. Sandra M Mansfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Lee Highway, Suite 300, Fairfax, VA 22031 Phone: 703-207-2810 Fax: 703-207-2838
Anna Lee Koozmin, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-324-7100
Julia Lynn Converse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000

Christin Dougherty, LCSW - Medicare Clinical Social Worker in Fairfax, VA