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WILLIAM KERRY DOHERTY MSW, LGSW
NPI 1972345817
Social Worker - Clinical in Roseville, MN

Active since June 11, 2024PECOS EnrolledAccepts Medicare Assignment
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113(651) 364-9381 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Kerry Doherty Msw, Lgsw NPPES

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

WILLIAM KERRY DOHERTY MSW, LGSW (NPI 1972345817) is an individual clinical provider in Roseville, Minnesota, licensed in Minnesota (29782) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972345817
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWILLIAM KERRY DOHERTYCredential: MSW, LGSW
Location Address2680 SNELLING AVE N STE 200Roseville, MN 55113-1879
Mailing Address5200 Dupont Ave NMinneapolis, MN 55430-3413 · (612) 419-7104
Phone(651) 364-9381
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1972345817 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 MN · 29782
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.
2680 SNELLING AVE N STE 200, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Kerry Doherty Msw, Lgsw 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 ID6709306111
PECOS Enrollment IDI20250227002999
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 55113 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

STACY L STANLEY LMFT
Marriage & Family Therapist
2680 SNELLING AVE N STE 200
SAINT PAUL, MN 55113
Ramsey County (651) 364-9381
MRS. LAURA JANE MORTENSON LICSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
SARAH M CONWAY LICSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
LUIS GARIBAY MSW, LGSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 273-2157
SHERRY ASPLUND
Counselor (Mental Health)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
JOSHUA C KOLETAR MSW, LICSW
Social Worker (Clinical)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
KAYLAH CHRISTINE VOGT
Counselor (Professional)
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381
TAYLOR A TOLBERT BS, LADC
Counselor (Addiction (Substance Use Disorder))
2680 SNELLING AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 364-9381

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 William Doherty's NPI number?

The NPI number for William Doherty is 1972345817. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is William Doherty located?

William Doherty practices at 2680 Snelling Ave N Ste 200, Roseville, MN 55113. The listed phone number is (651) 364-9381.

What is William Doherty's specialty?

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

Is William Doherty enrolled in Medicare?

Yes. William Doherty 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.

What insurance does William Doherty accept?

Health plans from HealthPartners and Providence Health Plan list William Doherty 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 William Doherty was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.