Individual provider · Type 1 NPI

Phoenix K. Fowler, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1104589498 Active

Practice location

11103 Park Rd
Louisville, KY 40223-2424

Call (502) 589-8600 Map

Mailing address

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X256081 (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 1104589498

Phoenix K. Fowler, LCSW's National Provider Identifier is 1104589498, issued on Oct 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Oct 14, 2021.