EVELYN DOUGHERTY (LICSW) – Addiction (Substance Use Disorder) Counselor, NPI 1861539629

EVELYN DOUGHERTY (LICSW) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials LICSW. They hold a License No. 107476 (MA). The NPI Number for EVELYN DOUGHERTY (LICSW) is 1861539629

Main info

Female
Sole Proprietor
Name
EVELYN DOUGHERTY (LICSW)
NPI
1861539629
Phone
(617) 862-8732
Address
PO BOX 300415
Enumeration Date
31 January 2007
Last Update Date
13 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for EVELYN DOUGHERTY (LICSW)

  • PO BOX 300415

    JAMAICA PLAIN, MA 021300004

    Phone: (617) 862-8732

    Type: Mailing

  • 11 GREEN ST

    JAMAICA PLAIN, MA 021302588

    Phone: (617) 862-8732

    Type: Location

  • Childrens Building, 45, Dimock Street, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States

    ROXBURY, MA 021191208

    Phone: (617) 442-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 02130)

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Frequently asked questions

How is EVELYN DOUGHERTY (LICSW) identified in CMS data?
CMS-hosted NPPES data lists EVELYN DOUGHERTY (LICSW) with NPI 1861539629.
Does CMS list EVELYN DOUGHERTY (LICSW) as active?
Yes — EVELYN DOUGHERTY (LICSW) is active in the NPI listing used on this page.
What is EVELYN DOUGHERTY (LICSW)'s primary classification?
Addiction (Substance Use Disorder) Counselor is the headline specialty for EVELYN DOUGHERTY (LICSW) here. Clinical services aligned with this taxonomy classification.
Does EVELYN DOUGHERTY (LICSW) list a practice location?
Patients near Jamaica Plain, Massachusetts may find EVELYN DOUGHERTY (LICSW) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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