KELLY DOUGHERTY LCSW
NPI 1023615614
Social Worker - Clinical in Bridgeport, CT
About Kelly Dougherty Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY DOUGHERTY LCSW (NPI 1023615614) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (013971) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Dougherty Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Dougherty's NPI number?
The NPI number for Kelly Dougherty is 1023615614. It was assigned to this individual provider in the NPPES registry on October 6, 2020.
Where is Kelly Dougherty located?
Kelly Dougherty practices at 2625 Park Ave Unit 2J, Bridgeport, CT 06604. The listed phone number is (203) 615-1405.
What is Kelly Dougherty's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelly Dougherty enrolled in Medicare?
Yes. Kelly Dougherty is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Dougherty was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
