Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea G Dougherty, LICSW

Individual provider Clinical Social Worker · NPI 1568555613

Andrea G Dougherty, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 1996, 30 years ago. Practices with Child and Family Psychiatry, Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
30
Licensed in
RI
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1 Richmond Sq Ste 300E
Providence, RI 02906-5160
Phone: (401) 349-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01279 (RI)

Record details

NPI number1568555613
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Child And Family Psychiatry, Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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