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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY LYNN DAUGHERTY, LCSW-R

Active

KELLY LYNN DAUGHERTY, LCSW-R is a Clinical Social Worker healthcare provider located in MALTA, New York. NPI 1265581482 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MALTA, NY

Registration Details

NPI Number
1265581482
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2007 (19.413036845777 yrs)
Last Updated
Sep 23, 2021
Licenses
C005397 (NC)
R077453 (NY)

Practice Information

Address
100 SARATOGA VILLAGE BLVD STE 21
MALTA, NY, 120203703
Browse NY providers · Browse ZIP 12020
Phone
5182198625
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MALTA, NY

Name Credential NPI
MR. EUGENE ORLANDO GARDNER LCSW-R 1063403772
TRACY L CLARK LCSW-R 1831103522
MS. JENNESS CLAIRMONT LCSW 1538272265
MS. DAWN CONSTANTINE LCSW-R 1255402053
PETER J PELUSO LCSW-R 1215054234
MRS. CHERI ANN DAVIES LCSW-R 1588935456
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.