KIMBERLY SUE DOUGHERTY
NPI 1235753385
Social Worker - Clinical in St Petersburg, FL

Active since June 04, 2020
4010 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Kimberly Sue Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUE DOUGHERTY (NPI 1235753385) is an individual clinical provider in St Petersburg, Florida and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1235753385
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY SUE DOUGHERTY
Location Address4010 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing Address1848 Se 1st AveFort Lauderdale, FL 33316-2875 · (954) 366-2700
Sole ProprietorNo
Enumeration DateJune 4, 2020
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
NPI 1235753385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

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.

4010 CENTRAL AVE, St Petersburg, FL 33711

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Case Manager/Care Coordinator
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Case Management
4010 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Counselor (Mental Health)
4010 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Social Worker
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Counselor (Mental Health)
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Counselor (Professional)
4010 CENTRAL AVE
ST PETERSBURG, FL 33711
Social Worker (Clinical)
4010 CENTRAL AVE
SAINT PETERSBURG, FL 33711

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 Kimberly Dougherty's NPI number?

The NPI number for Kimberly Dougherty is 1235753385. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Kimberly Dougherty located?

Kimberly Dougherty practices at 4010 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Kimberly Dougherty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kimberly Dougherty accept?

Health plans from Molina Healthcare list Kimberly Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Dougherty was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.