Individual provider · Type 1 NPI

Timothy Michael Doherty, LCSW

Clinical Social Worker · Winston-Salem, NC

NPI number 1740240431 Active

Practice location

190 Kimel Park Dr
Winston-Salem, NC 27103-6946

Call (336) 768-3296 Map

Fax (336) 760-5484

Mailing address

241 Lucerne Ln
Winston-Salem, NC 27104-2916

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC002863 (NC)

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 1740240431

Timothy Michael Doherty, LCSW's National Provider Identifier is 1740240431, issued on Mar 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 13, 2026.