Individual
BARBARA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
10451 TWIN RIVERS RD, COLUMBIA, MD 21044-2388
(410) 997-3557
(410) 964-1791
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07858
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164119
MAMSI
MD
01
—
226087
KAISER
MD
01
—
533125
CAREFIRST BCBS-MD
MD
01
—
7121376
AETNA BAHAVIORAL HEALTH
MD
01
—
PVPB123502
APS HEALTHCARE
MD
01
—
T541 0004
CAREFIRST BCBS-DC
MD
Enumeration date
07/31/2006
Last updated
11/26/2007
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