1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Case Manager Care Coordinator
  6. NPI Profile

SHANE ANTHONY DAUGHERTY
NPI 1790646008
Case Manager/Care Coordinator in Little Rock, AR

Active since November 18, 2025
712 W 3RD ST, LITTLE ROCK, AR 72201(501) 379-4246 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Anthony Daugherty NPPES

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

SHANE ANTHONY DAUGHERTY (NPI 1790646008) is an individual case manager/care coordinator provider in Little Rock, Arkansas and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1790646008
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSHANE ANTHONY DAUGHERTY
Location Address712 W 3RD STLittle Rock, AR 72201-2220
Mailing Address712 W 3rd StLittle Rock, AR 72201-2220 · (501) 379-4246
Phone(501) 379-4246
Sole ProprietorNo
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1790646008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
712 W 3RD ST, Little Rock, AR 72201
Open in Google Maps ↗

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.

RICKI DEVON STEWART
Counselor (Mental Health)
712 W 3RD ST, STE 100
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246
TRISA LYNNAE DABBS MHPP
Counselor (Mental Health)
712 W 3RD ST
LITTLE ROCK, AR 72201
Pulaski County (501) 259-2701
WENDY D FOUNDS
Counselor (Mental Health)
712 W 3RD ST
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246
G LYNNETTE JORDAN
Peer Specialist
712 W 3RD ST
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246
DARRELL DAVIS
Counselor (Mental Health)
712 W 3RD ST
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246
DR. RUTH A COOPER M.D.
Psychiatry & Neurology (Psychiatry)
712 W 3RD ST, SUITE 100
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246
PATRICK GENTRY CIT
Counselor (Addiction (Substance Use Disorder))
712 W 3RD ST
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246
LEE ELIZABETH CAMPBELL MHPP
Counselor (Mental Health)
712 W 3RD ST
LITTLE ROCK, AR 72201
Pulaski County (501) 379-4246

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 Shane Daugherty's NPI number?

The NPI number for Shane Daugherty is 1790646008. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Shane Daugherty located?

Shane Daugherty practices at 712 W 3rd St, Little Rock, AR 72201. The listed phone number is (501) 379-4246.

What is Shane Daugherty's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shane Daugherty was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.