Individual provider · Type 1 NPI

Samuel H. Dougherty, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1376305714 Active

Practice location

4010 Dupont Cir Ste 484A
Louisville, KY 40207-4812

Call (502) 218-4275 Map

Fax (502) 855-4971

Mailing address

3307 Richard Ave
Louisville, KY 40206-2759

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X258753 (KY)

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 1376305714

Samuel H. Dougherty, LCSW's National Provider Identifier is 1376305714, issued on Jan 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Aug 6, 2026.