Amanda Daugherty, MSW, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255743 Issued in KY

Practice address

6900 Houston Rd Ste 12
Florence, KY 41042-4891

Phone

(310) 619-8989

NPI assigned

Jul 15, 2024

Sex

Female

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M Shannon Enterprises

  • Mental Health Counselor
  • Florence, KY
  • NPI 1366181539

  Clinical

  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1619715778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 APPEALS CT",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410518679",
            "telephone_number": "859-757-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD STE 12",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424891",
            "telephone_number": "310-619-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "AMANDA",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benton Dammel, D.C.
• Daniel L French PSC
• Justice Daniels, RDMS
• Taylor Dantes, LPCC
• Alexander E Dapkus, DC
• Dave Philbrick DMD PSC
• David C. Ward, O.D. and Associates
• David H Martin PSC
• David M. Schneider, M.D. Inc.
• Alicia B Davidson, APRN

• Clinical Social Worker in Florence, KY
• Providers in Florence, 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 15, 2024; 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.