Sam Dougherty PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SAM DOUGHERTY PLLC

Practice address

4010 Dupont Cir Ste 484a
Louisville, KY 40207-4812

Phone

(502) 218-3306

NPI assigned

Jun 19, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Dougherty, LCSW

Title

Owner

Phone

(502) 218-4275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillborn Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel H Dougherty, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1376305714
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1104752070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 484A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-218-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 484A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-218-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM DOUGHERTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-218-4275",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100953640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillborn Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yogesh Salvi
• Jessie Marie Salvia, PTA
• Larissa Vivian Salyers, MA, LPCC, LCADC
• Kelly Salzer
• Marc J Salzman, MD
• Sam F. Yared, PLLC
• Sam'S Club Optical
• Samantha L. Johnson DMD LLC
• Samantha Shaver DMD PSC
• Christine Kim Chelse Baguinat Samarinta, PT

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.