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

Samuel H Dougherty, LCSW

Individual provider Clinical Social Worker · NPI 1376305714

Samuel H Dougherty, LCSW is a Clinical Social Worker in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Seven Counties Services, Inc, a 90-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2024
What do these letters mean?
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

4010 Dupont Cir Ste 484A
Louisville, KY 40207-4812
Phone: (502) 218-4275
Fax: (502) 855-4971
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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 258753 (KY)

Record details

NPI number1376305714
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 30, 2024
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Seven Counties Services, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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