# PATRICIA DOHERTY, LICSW, PLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760924450
- **Authorized official:** PATRICIA JUDITH DOHERTY LICSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (802) 825-6910

## Contact information

- **Practice address:** 1205 NORTH AVE, BURLINGTON, VT 05408-2804
- **Practice address phone:** (802) 489-5665
- **Mailing address:** 1205 NORTH AVE, BURLINGTON, VT 05408-2804
- **Mailing address phone:** (802) 489-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 89.0000877 | VT | Yes |

## Other

- **Enumeration date:** 11/10/2016
- **Last updated:** 11/10/2016