Doherty, Michele

Doherty, Michele is an individual health care provider with primary practice located at 633 Clove Rd , Staten Island NY 10310-2736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Doherty, Michele can be contacted via phone (718) 727-5056.

Contact Information

Primary practice address
633 Clove Rd Staten Island NY 10310-2736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X RO27974-1 New York

Profile Details

NPI number 1982689451
LBN Legal business name Doherty, Michele
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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