Vickie M Daugherty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW0000005687 Issued in TN

Practice address

5833 Clinton Hwy
Knoxville, TN 37912-2556

Phone

(865) 603-3260

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1699813873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 JOHNSTON ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379211910",
            "telephone_number": "865-603-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 CLINTON HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122556",
            "telephone_number": "865-603-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 Cross Park Dr Ste 475",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234506",
            "country_code": "US",
            "telephone_number": "865-560-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "VICKIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5409",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "CSW0000005687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044310",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anisha Dash, MD
• Chelsea Daugherty, M.S. CCC-SLP
• Karli Daugherty
• Katie Daugherty
• Susan Marie Daugherty, MSPT
• Ardy Davarifar, MD/PHD
• Celeste Osinski Davenport
• David Davenport, PT
• Jeannette Marie Davenport
• Joshua David Davenport

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.