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ELEANOR LOUISE DOUGHERTY LMSW-C/M.DCSW NPI 1295715498


NPI Information

NPI: 1295715498
Provider Name: ELEANOR LOUISE DOUGHERTY, LMSW-C/M.DCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1341 N 26TH ST
PENSTAR OFFICE CENTER STE 103
ESCANABA, MI
ZIP 49829
Phone: (906) 233-9588
Get Directions

Eleanor Louise Dougherty, LMSW-C/M.DCSW is a clinical social worker in Escanaba, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Eleanor Louise Dougherty, LMSW-C/M.DCSW NPI is 1295715498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1341 N 26TH ST
PENSTAR OFFICE CENTER STE 103
ESCANABA, MI
ZIP 49829-515
Phone: (906) 233-9588
Fax: (906) 217-2008

The enumeration date for this NPI number is 1/23/2006 and was last updated on 1/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)6801069892MICHIGANNo
2101YA0400XCounselorAddiction (Substance Use Disorder)3446- 123WISCONSINNo
3101YM0800XCounselorMental Health6801069892MICHIGANNo
4101YM0800XCounselorMental Health3446- 123WISCONSINNo
5101YP2500XCounselorProfessional6801069892MICHIGANNo
6101YP2500XCounselorProfessional3446- 123WISCONSINNo
71041C0700XSocial WorkerClinical3446-123WISCONSINNo
8106H00000XMarriage & Family Therapist6801069892MICHIGANNo
91041C0700XSocial WorkerClinical6801069892MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1170082-000OTHERMAGELLAN INDIVIDUAL ID
20897996OTHERMICHIGANBCBSM PIN
38008979960OTHERMICHIGANBCBSM PIN
4P44870001MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.