KIMBERLY SUE DOUGHERTY – Clinical Social Worker, NPI 1235753385

KIMBERLY SUE DOUGHERTY is a healthcare provider. based in St petersburg, Florida. specializing in Clinical Social Worker. The NPI Number for KIMBERLY SUE DOUGHERTY is 1235753385

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY SUE DOUGHERTY
NPI
1235753385
Phone
Not provided
Address
4024 CENTRAL AVE
Enumeration Date
4 June 2020
Last Update Date
7 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
72732776564207
Graduation Year
2012 (14 years ago)
PAC ID
5597187187
Group Practice PAC ID
4082603295
Professional Enrollment ID
I20200629001261
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for KIMBERLY SUE DOUGHERTY

  • 4024 CENTRAL AVE

    ST PETERSBURG, FL 337111239

    Phone:

    Type: Mailing

  • 1848 SE 1ST AVE

    FORT LAUDERDALE, FL 333162875

    Phone: (954) 366-2700

    Type: Mailing

  • 4010 CENTRAL AVE

    ST PETERSBURG, FL 337111239

    Phone: (727) 327-7656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33711)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082603295View full group profile
NameSpecialtyState
-FL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Nurse PractitionerFL
Mental Health CounselorFL
-FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows KIMBERLY SUE DOUGHERTY across health systems?
The NPI 1235753385 uniquely identifies KIMBERLY SUE DOUGHERTY in U.S. healthcare data.
Should I treat KIMBERLY SUE DOUGHERTY as an active provider?
Patients and plans typically see KIMBERLY SUE DOUGHERTY as active in the national extract.
Which specialty label fits KIMBERLY SUE DOUGHERTY?
NPPES ties KIMBERLY SUE DOUGHERTY to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMBERLY SUE DOUGHERTY?
KIMBERLY SUE DOUGHERTY is associated with St Petersburg, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

315 SE 14th St
NPI: 1104829274

ANITA LOUISE LENAS LCSW INC

Clinical Social Worker
5348, 1st Avenue North, Live Oak, Saint Petersburg, Pinellas County, Florida, 33710, United States
NPI: 1437144805

CHERYL A LIBERA

Clinical Social Worker
1563, Alhambra Way South, Saint Petersburg, Pinellas County, Florida, 33705, United States
NPI: 1467443655

MS. ANITA M CARTER (MSW)

Clinical Social Worker
11401 DR. MLK JR. ST N APT 409
NPI: 1598746851
9600, Koger Boulevard North, Riviera Bay, Saint Petersburg, Pinellas County, Florida, 33702, United States
NPI: 1316907066

Unknown Individual

Clinical Social Worker
605 W Bloomingdale Ave
NPI: 1366404915
3531, 18th Street North, Oakwood Gardens, Saint Petersburg, Pinellas County, Florida, 33713, United States
NPI: 1285682708
1312 Spring Creek Rd
NPI: 1235188491

GAIL E CLARK (LCSW)

Clinical Social Worker
11644 83RD AVE
NPI: 1164473245