Individual provider · Type 1 NPI
Kelly Dougherty, LCSW
Clinical Social Worker · Bridgeport, CT
Practice location
2625 Park Ave Unit 2J
Bridgeport, CT 06604-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 013971 (CT) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1023615614
Kelly Dougherty, LCSW's National Provider Identifier is 1023615614, issued on Oct 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 29, 2025.