Individual provider · Type 1 NPI

Kevin Willoughby, LCSW

Clinical Social Worker · Bowling Green, KY

NPI number 1093825473 Active

Practice location

380 Suwannee Trail Street
Bowling Green, KY 42103

Fax (270) 842-6553

Mailing address

238 Cumberland Cir
Bowling Green, KY 42103-9008

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1276 (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 1093825473

Kevin Willoughby, LCSW's National Provider Identifier is 1093825473, issued on Aug 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowling Green, KY. The record was last updated on Nov 26, 2024.