Herbert Frederick Daughtry, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

2780 Reservoir Ave
Bronx, NY 10468-2702

Phone

(718) 329-8589

NPI assigned

May 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1245976786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 BROADWAY APT 5L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 RESERVOIR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104682702",
            "telephone_number": "718-329-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTRY",
        "first_name": "HERBERT",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Vincent Daugherty, M.A., LMHC
• Daughters of Jacob Adult Day Care Program
• Daughters of Jacob Dialysis Center Corp
• Daughters of Jacob Nursing Home Co
• Daughters of Jacob Nursing Home Company, Inc.
• Rupal Daulat, DPT
• Jean-Robert Dautruche, LPN
• Swati Dave-Sharma, M.D.
• Kartikeya P Dave, M.D.
• Mahendraray B Dave

• School Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.