Patricia Doherty, Licsw, Plc

LBN: Patricia Doherty, Licsw, Plc
Patricia Doherty, Licsw, Plc is an health care organization with primary practice located at 1205 North Ave , Burlington VT 05408-2804. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Patricia Doherty, Licsw, Plc can be contacted via phone (802) 489-5665, or through Doherty, Patricia Judith via phone (802) 825-6910.

Contact Information

Primary practice address
1205 North Ave Burlington VT 05408-2804
Phone: (802) 489-5665
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doherty, Patricia Judith LICSW
Phone: (802) 825-6910

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 89.0000877 Vermont

Profile Details

NPI number 1760924450
LBN Legal business name Patricia Doherty, Licsw, Plc
DBA Doing business as
Authorized official Doherty, Patricia Judith LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2016
Last updated Nov 10th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760924450 NPPES
Vermont MEDICAID 1023503

Popular Providers