SANDRA DOUGHERTY LMSW
NPI 1831483874
Social Worker in Clarkston, MI

Q: What is Sandra Dougherty's NPI number?

The NPI number for Sandra Dougherty is 1831483874. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Sandra 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 Sandra Dougherty was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 07, 2011PECOS Enrolled

8062 ORTONVILLE RD, CLARKSTON, MI 48348(248) 625-2970(248) 625-6829 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sandra Dougherty Lmsw NPPES

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

SANDRA DOUGHERTY LMSW (NPI 1831483874) is an individual social worker in Clarkston, Michigan, licensed in Michigan (6801089986) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1831483874

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSANDRA DOUGHERTYCredential: LMSW

Location Address8062 ORTONVILLE RDClarkston, MI 48348-4456

Mailing Address8062 Ortonville RdClarkston, MI 48348-4456 · (248) 625-2970 · Fax (248) 625-6829

Phone(248) 625-2970

Fax(248) 625-6829

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJune 7, 2011

✔ NPI 1831483874 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 MI · 6801089986

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.

8062 ORTONVILLE RD, Clarkston, MI 48348

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5092980094

PECOS Enrollment IDI20111201000770

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 10

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

MS. KAURA H. AFRICA MA, LPC

Counselor