Christina Marie Dougherty, LCSW in Los Angeles, CA - Medicare Social Worker Provider

Christina Marie Dougherty, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is 3705 W Pico Blvd # 790, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (858) 504-7868.

Christina Marie Dougherty is licensed to practice in California (license number 95514) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205097938.

Contact Information

	Christina Marie Dougherty, LCSW
	3705 W Pico Blvd # 790, Los Angeles, CA 90019-3451
	(858) 504-7868
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christina Marie Dougherty
Gender	Female
Speciality	Social Worker - Clinical
Location	3705 W Pico Blvd # 790, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205097938
Provider Enumeration Date: 06/25/2008
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7810219433
Enrollment ID: I20240304004041

Medical Identifiers

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

Identifier	Type	State	Issuer
1205097938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW018891 (Pennsylvania)	Secondary
1041C0700X	Social Worker - Clinical	SW7802 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	SWB-2022-1013 (New Mexico)	Secondary
1041C0700X	Social Worker - Clinical	95514 (California)	Primary

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. Christina Marie Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Christina Marie Dougherty
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952007304 PECOS PAC ID: 5698030096 Enrollment ID: O20240304004023

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. Christina Marie 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
Christina Marie Dougherty, LCSW 1109 Daskalos Dr Ne, Albuquerque, NM 87123-1938 Ph: (858) 504-7868	Christina Marie Dougherty, LCSW 3705 W Pico Blvd # 790, Los Angeles, CA 90019-3451 Ph: (858) 504-7868

Reviews and Comments

Social Worker in Los Angeles, CA

Myla T Howell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Eastlake Ave, Los Angeles, CA 90033 Phone: 323-226-1871
Lucy S Villegas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 E 120th St, Los Angeles, CA 90059 Phone: 310-668-3201
Ms. Janie Michaels Grauman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Ave, Los Angeles, CA 90036 Phone: 323-634-3802 Fax: 323-634-3870
Jill Marie Stonerock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6957 N Figueroa St, Los Angeles, CA 90042 Phone: 323-443-3175
Kathy Estrada Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 213-241-3841
Marc Richard Russak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1081 Westwood Blvd Ste 221, Los Angeles, CA 90024 Phone: 310-800-3986
Janet S. Cazares, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Los Angeles, CA 90012 Phone: 310-668-3141

Christina Marie Dougherty, LCSW - Medicare Clinical Social Worker in Los Angeles, CA