Look up the most recent NPI and PECOS records

Patricia Judith Doherty

Social Worker

Behavioral Health & Social Service Providers

149 Cherry St, Burlington, VT 05401-3817

PECOS Enrollment

Based on the most recent information from CMS, provider Patricia Judith Doherty does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1588838973
Provider Type
Individual
Full Name
Doherty, Patricia Judith
Title
Ms.
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/16/2008
Last Updated
7/18/2014

Contact Information

Practice Location

149 Cherry St, Burlington, VT 05401-3817

(866) 843-1722

Unlisted Fax

Mailing Location

58 Dugway Rd, Waitsfield, VT 05673-6116

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 089-0000877 Vermont

Provider Identifiers

ID	Description	Issuer
ID 089-0000877	Description Other	Issuer VERMONT PROFESSIONAL REGULATION BOARD Vermont

Patricia Judith Doherty

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mcfadden, Meaghan Moran

Gerdeman, Sarah L.

Boska, Hayden

Kitsos, Margaret Elizabeth

Karge, Kristine Mary

Ahearn, Erin M

Johnson, Leighton F

Carpenter, Lauren

Evenson, Brenda

Hubeck, Kimberly