MS. JERRA L DAUGHERTY LCSW
NPI 1407473093
Social Worker - Clinical in Smithfield, VA

Active since June 29, 2020PECOS EnrolledAccepts Medicare Assignment
84 KINGS POINT AVE, SMITHFIELD, VA 23430(785) 223-7714 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jerra L Daugherty Lcsw NPPES

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

MS. JERRA L DAUGHERTY LCSW (NPI 1407473093) is an individual clinical provider in Smithfield, Virginia, licensed in Virginia (0904011460) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1407473093
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JERRA L DAUGHERTYCredential: LCSW
Location Address84 KINGS POINT AVESmithfield, VA 23430-2975
Mailing Address84 Kings Point AveSmithfield, VA 23430-2975 · (785) 223-7714
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1407473093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904011460
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.
84 KINGS POINT AVE, Smithfield, VA 23430

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jerra L Daugherty Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103234190
PECOS Enrollment IDI20210412001326
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerra Daugherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
2202 EXECUTIVE DR, SUITE C
Hampton, VA 23666
  • Reassigned Medicare billing, Virginia enrollment
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
184 services19 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jerra Daugherty's NPI number?

The NPI number for Jerra Daugherty is 1407473093. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Jerra Daugherty located?

Jerra Daugherty practices at 84 Kings Point Ave, Smithfield, VA 23430. The listed phone number is (785) 223-7714.

What is Jerra Daugherty's specialty?

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

Is Jerra Daugherty enrolled in Medicare?

Yes. Jerra Daugherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jerra Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerra Daugherty reassigns Medicare benefits to Genesis Counseling Center, Inc. (Hampton, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerra Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerra Daugherty was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.