Individual provider · Type 1 NPI

Kimberly Sue Dougherty

Clinical Social Worker · St. Petersburg, FL

NPI number 1235753385 Active

Practice location

4010 Central Ave
St. Petersburg, FL 33711-1239

Call (727) 327-7656 Map

Mailing address

1848 SE 1st Ave
Fort Lauderdale, FL 33316-2875

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1235753385

Kimberly Sue Dougherty's National Provider Identifier is 1235753385, issued on Jun 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 7, 2020.