Kelly Daugherty, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KELLY DAUGHERTY, LCSW, PLLC

Practice address

100 Saratoga Village Blvd Ste 21
Malta, NY 12020-3703

Phone

(518) 219-8625

NPI assigned

Apr 1, 2025

Last updated

Apr 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Daugherty, LCSWNPI 1265581482

Title

Owner

Phone

(518) 219-8625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Lynn Daugherty, LCSW-R

  • Clinical Social Worker
  • Malta, NY
  • NPI 1265581482
  Medicare reassignment NPD Authorized official
• Melissa Chaput, LMSW

  • Social Worker
  • Troy, NY
  • NPI 1669899555
  NPD (past)

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1699579730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WHITE RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202120",
            "telephone_number": "518-219-8625",
            "fax_number": "518-309-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD STE 21",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203703",
            "telephone_number": "518-219-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY DAUGHERTY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-219-8625",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hoskinson, DPT, PT
• Dawn M Howk, LMHC
• Nicholas Jacques
• Kaitlin Kuwitzky PA PLLC
• Monique Miranda Kaldy, M.S., CCC-SLP
• Patricia Rae Kennedy, MD
• Kenneth Schwartz MD (Malta Primary Care)
• Corinne Kimmelman
• Katherine Jean Kindl, OTR/L
• Renee Kingsley

• Clinical Social Worker in Malta, NY
• Providers in Malta, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.