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MAYA DOUGHERTY MSW
NPI 1588040596
Social Worker in Oakland, CA

Active since August 03, 2015PECOS Enrolled
1515 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-3500 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Jul 13, 2016 (2 updates tracked since 2016).

About Maya Dougherty Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYA DOUGHERTY MSW (NPI 1588040596) is an individual social worker in Oakland, California, licensed in California (72126) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588040596
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMAYA DOUGHERTYCredential: MSW
Location Address1515 FRUITVALE AVEOakland, CA 94601-2322
Mailing Address1515 Fruitvale AveOakland, CA 94601-2322
Phone(510) 535-3500
Sole ProprietorNo
Enumeration DateAugust 3, 2015
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1588040596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 72126
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1515 FRUITVALE AVE, Oakland, CA 94601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Dougherty Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maya Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
12 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASANO FLOY FERTIG MD
Family Medicine
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
ANNABELLE TELEKI B.A.
Counselor (Mental Health)
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
GINA PASCUAL
Social Worker (Clinical)
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
CORINNE MICHELE MCCLAUGHRY MD
Family Medicine
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
REILEY DIANE REED
Social Worker (Clinical)
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
EMILY PLUMMER
Social Worker (Clinical)
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
LA CLINICA DE LA RAZA INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300
SUZY MENJIVAR NP
Nurse Practitioner
1515 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maya Dougherty's NPI number?

The NPI number for Maya Dougherty is 1588040596. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Maya Dougherty located?

Maya Dougherty practices at 1515 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 535-3500.

What is Maya Dougherty's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Maya Dougherty enrolled in Medicare?

Yes. Maya Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maya Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maya Dougherty reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maya Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maya Dougherty was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.