Individual
DANIEL JOSEPH DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8203 FREDONIA RD, GARDEN COTTAGE COUNSELING, RICHMOND, VA 23227-1533
(804) 264-3047
(804) 264-3047
Mailing address
8203 FREDONIA RD, GARDEN COTTAGE COUNSELING, RICHMOND, VA 23227-1533
(804) 264-3047
(804) 264-3047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085692
SENTARA
VA
01
—
110311
ANTHEM
VA
01
—
263148-000
MAGELLAN
VA
01
—
4945131
VIRGINIA PREMIER
VA
01
—
7110641
MAMSI
VA
01
—
800001306
MEDICARE
VA
Enumeration date
02/13/2007
Last updated
11/19/2014
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