Eleanor Louise Dougherty, LMSW-C/MDCSW is a
Social Worker - Clinical based in Escanaba, Michigan. Eleanor Louise Dougherty is licensed to practice in Michigan (license number 6801069892) and her current practice location is
1341 N 26th St, Penstar Office Center Ste 103, Escanaba, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 233-9588.
NPI number for Eleanor Louise Dougherty is 1295715498 and her current mailing address is 1341 N 26th St, Penstar Office Center Ste 103, Escanaba, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295715498.
Healthcare Provider's Profile
| Full Name | Eleanor Louise Dougherty |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1341 N 26th St, Escanaba, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295715498
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 01/07/2010
Medical Identifiers
Medical identifiers for Eleanor Louise Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295715498 | NPI | - | NPPES |
| 170082-000 | Other | | MAGELLAN INDIVIDUAL ID |
| 0897996 | Other | MI | BCBSM PIN |
| 8008979960 | Other | MI | BCBSM PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801069892 (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3446- 123 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6801069892 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3446- 123 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 6801069892 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 3446- 123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801069892 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | 3446-123 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 6801069892 (Michigan) | Secondary |
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. Eleanor Louise 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 |
|---|
Eleanor Louise Dougherty, LMSW-C/MDCSW
1341 N 26th St, Penstar Office Center Ste 103,
Escanaba, MI 49829-2515
Ph: (906) 233-9588 | Eleanor Louise Dougherty, LMSW-C/MDCSW
1341 N 26th St, Penstar Office Center Ste 103,
Escanaba, MI 49829-2515
Ph: (906) 233-9588 |
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