Laura Ann Doherty | Waltham, MA • PECOS Search

Laura Ann Doherty

Social Worker

Behavioral Health & Social Service Providers

333 Wyman St Ste 100, Waltham, MA 02451-1272

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Ann 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 yesterday at 10:04 AM.

Profile Details

Provider ID
1457831026
Provider Type
Individual
Full Name
Doherty, Laura Ann
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/14/2018
Last Updated
8/14/2018

Contact Information

Practice Location

333 Wyman St Ste 100, Waltham, MA 02451-1272

Unlisted Fax

Mailing Location

35 Chute St, Reading, MA 01867-2518

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 119849 Massachusetts