MAYA DOUGHERTY MSW
NPI 1588040596
Social Worker in Oakland, CA

Q: 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.

Q: What is Maya Dougherty's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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