SANDRA DOUGHERTY (LMSW) – Social Worker, NPI 1831483874

SANDRA DOUGHERTY (LMSW) is a healthcare provider. based in Clarkston, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801089986 (MI). The NPI Number for SANDRA DOUGHERTY (LMSW) is 1831483874

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA DOUGHERTY (LMSW)
NPI
1831483874
Phone
(248) 625-2970
Address
8062 ORTONVILLE RD
Enumeration Date
7 June 2011
Last Update Date
7 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489229077
Graduation Year
2007 (19 years ago)
PAC ID
5092980094
Group Practice PAC ID
8820240047
Professional Enrollment ID
I20111201000770
Address ID
MI483463149CL5639XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for SANDRA DOUGHERTY (LMSW)

  • 8062 ORTONVILLE RD

    CLARKSTON, MI 483484456

    Phone: (248) 625-2970

    Fax: (248) 625-6829

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111201000770IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48348)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820240047View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

Can I cross-check SANDRA DOUGHERTY (LMSW) using NPI 1831483874?
NPI 1831483874 belongs to SANDRA DOUGHERTY (LMSW); compare other details if you need extra assurance.
Is there an active status for SANDRA DOUGHERTY (LMSW)?
For scheduling context, SANDRA DOUGHERTY (LMSW) is shown as active in the registry.
What expertise is attributed to SANDRA DOUGHERTY (LMSW)?
SANDRA DOUGHERTY (LMSW)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Is SANDRA DOUGHERTY (LMSW) located near Clarkston?
SANDRA DOUGHERTY (LMSW) currently maps to Clarkston, Michigan in this extract.
Does SANDRA DOUGHERTY (LMSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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