Individual provider · Type 1 NPI

Melissa Dougherty, LCSW

Clinical Social Worker · Taghkanic, NY

NPI number 1790446755 Active

Practice location

87 Craryville Rd
Taghkanic, NY 12521-5556

Mailing address

10 Montague Ter
Brooklyn, NY 11201-4117

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X114652-01 (NY)

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…

About NPI 1790446755

Melissa Dougherty, LCSW's National Provider Identifier is 1790446755, issued on Jan 3, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taghkanic, NY. The record was last updated on Nov 21, 2025.