Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christina Marie Dougherty, LCSW

Individual provider Clinical Social Worker · NPI 1205097938

Christina Marie Dougherty, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California, Florida, New Mexico and Pennsylvania.

Years since qualifying
24
Licensed in
CA, FL, NM, PA
In the registry since
2008
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3705 W Pico Blvd # 790
Los Angeles, CA 90019-3451
Phone: (858) 504-7868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 95514 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW018891 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW7802 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SWB-2022-1013 (NM)

Record details

NPI number1205097938
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 25, 2008
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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