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

Kimberly Sue Dougherty

Individual provider Clinical Social Worker · NPI 1235753385

Kimberly Sue Dougherty is a Clinical Social Worker in St Petersburg, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4010 Central Ave
St Petersburg, FL 33711-1239
Phone: (727) 327-7656
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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

Record details

NPI number1235753385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

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