Individual provider · Type 1 NPI

Dwinelva Z. Zackery, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1043173735 Active

Practice location

312 S 4th St Ste 700
Louisville, KY 40202-3046

Mailing address

2323 Antoinette Way
Union, KY 41091-7405

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1627 (KY)

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 1043173735

Dwinelva Z. Zackery, LCSW's National Provider Identifier is 1043173735, issued on Dec 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Dec 8, 2025.