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KENDRA DAUGHERTY LSW
NPI 1619488491
Social Worker - Clinical in St Louisville, OH

Active since October 19, 2017PECOS Enrolled
8135 MOUNT VERNON RD, ST LOUISVILLE, OH 43071(740) 345-5437 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2025, Dec 8, 2022, Oct 19, 2017 (3 updates tracked since 2017).

About Kendra Daugherty Lsw NPPES

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

KENDRA DAUGHERTY LSW (NPI 1619488491) is an individual clinical provider in St Louisville, Ohio and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619488491
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA DAUGHERTYCredential: LSW
Location Address8135 MOUNT VERNON RDSt Louisville, OH 43071-9670
Mailing Address8135 Mount Vernon RdSt Louisville, OH 43071-9670 · (740) 345-5437
Phone(740) 345-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 19, 2017
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1619488491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSocial WorkerTaxonomy 104100000X · License 1700313 (OH)
8135 MOUNT VERNON RD, St Louisville, OH 43071
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Other Names 1

Former Name (1)Kendra Martin Lsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Daugherty Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022594571
PECOS Enrollment IDI20260114002844
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43071 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 8

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

HOUSE OF NEW HOPE
Community/Behavioral Health
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
JOHN SWISHER LSW
Social Worker
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
MRS. PENNY EILEEN HARRIS LSW
Social Worker
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
GRACE DALE LSW
Social Worker
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
AMY ANNE SICKLE LSW
Social Worker
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
SARAH NICHOLE KEEFE BSW, LSW
Social Worker
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
HOUSE OF NEW HOPE
Home Health
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 345-5437
DEENA WARE LSW
Social Worker
8135 MOUNT VERNON RD
ST LOUISVILLE, OH 43071
Licking County (740) 975-4728

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 Kendra Daugherty's NPI number?

The NPI number for Kendra Daugherty is 1619488491. It was assigned to this individual provider in the NPPES registry on October 19, 2017. The provider is also known as Kendra Martin Lsw.

Where is Kendra Daugherty located?

Kendra Daugherty practices at 8135 Mount Vernon Rd, St Louisville, OH 43071. The listed phone number is (740) 345-5437.

What is Kendra Daugherty's specialty?

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

Is Kendra Daugherty enrolled in Medicare?

Yes. Kendra Daugherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendra Daugherty was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.