Organization · Type 2 NPI

Kelly Daugherty, Lcsw, PLLC

Clinical Social Worker · Malta, NY

NPI number 1699579730 Active

Practice location

100 Saratoga Village Blvd Ste 21
Malta, NY 12020-3703

Mailing address

118 White Rd
Ballston Spa, NY 12020-2120

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 1699579730

Kelly Daugherty, Lcsw, PLLC's National Provider Identifier is 1699579730, issued on Apr 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Malta, NY. The record was last updated on Apr 3, 2025.