Melissa Dougherty, is a
Social Worker - Clinical based in Taghkanic, New York. Melissa Dougherty is licensed to practice in New York (license number 114652-01) and her current practice location is
87 Craryville Rd, Taghkanic, New York. She can be reached at her office (for appointments etc.) via phone at
(650) 906-1410.
NPI number for Melissa Dougherty is 1790446755 and her current mailing address is 10 Montague Ter, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790446755.
Healthcare Provider's Profile
Full Name | Melissa Dougherty |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 87 Craryville Rd, Taghkanic, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790446755
- Provider Enumeration Date: 01/03/2022
- Last Update Date: 01/03/2022
Medical Identifiers
Medical identifiers for Melissa Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790446755 | NPI | - | NPPES |
114652-01 | Other | NY | LMSW REGISTRATION CERTIFICATE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 114652-01 (New York) | Primary |
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. Melissa Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melissa Dougherty, 10 Montague Ter, Brooklyn, NY 11201-4117 Ph: () - | Melissa Dougherty, 87 Craryville Rd, Taghkanic, NY 12521-5556 Ph: (650) 906-1410 |
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