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

Jessica Christine Doherty, MSW, LCSW, CSAC

Individual provider Clinical Social Worker · NPI 1447026174

Jessica Christine Doherty, MSW, LCSW, CSAC is a Clinical Social Worker in Elkhorn, Wisconsin. Qualified in 2019, 7 years ago. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

128 W Hidden Trl Apt 101
Elkhorn, WI 53121-4513
Phone: (847) 693-6942
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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 10234-123 (WI)

Record details

NPI number1447026174
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , CSAC
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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