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

Individual provider Clinical Social Worker · NPI 1538630538

Monique Nicole Doherty, LICSW is a Clinical Social Worker in South Deerfield, Massachusetts. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

110 N Hillside Rd Ste 15
South Deerfield, MA 01373-9727
Phone: (413) 522-1009
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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 225794 (MA)
Social Worker Taxonomy 104100000X

Record details

NPI number1538630538
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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