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

Kendra Daugherty, LSW

Individual provider Social Worker · NPI 1619488491

Kendra Daugherty, LSW is a Clinical Social Worker in St Louisville, Ohio. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

8135 Mount Vernon Rd
St Louisville, OH 43071-9670
Phone: (740) 345-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 59 Grant St, Newark, OH 43055-3939 — (740) 349-7511

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence 1700313 (OH)

Record details

NPI number1619488491
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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