Individual provider · Type 1 NPI

Cody Fenwick, LCSW

Clinical Social Worker · Evansville, IN

NPI number 1003515313 Active

Practice location

1133 Lincoln Ave
Evansville, IN 47714-1028

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	87900165A (IN)
Clinical Social Worker Primary	1041C0700X	34011834A (IN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003515313

Cody Fenwick, LCSW's National Provider Identifier is 1003515313, issued on Feb 24, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evansville, IN. The record was last updated on Sep 18, 2025.