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

Kelly Lynn Daugherty, LCSW-R

Individual provider Clinical Social Worker · NPI 1265581482

Kelly Lynn Daugherty, LCSW-R is a Clinical Social Worker in Malta, New York. Qualified in 2002, 24 years ago. Licensed in North Carolina and New York.

Years since qualifying
24
Licensed in
NC, NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

100 Saratoga Village Blvd Ste 21
Malta, NY 12020-3703
Phone: (518) 219-8625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R077453 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence C005397 (NC)

Record details

NPI number1265581482
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Malta