Individual provider · Type 1 NPI

Tyra Lavigne

Clinical Social Worker · Bowling Green, KY

NPI number 1205778461 Active

Practice location

822 Woodway St
Bowling Green, KY 42101-2771

Call (270) 901-5000 Map

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1205778461

Tyra Lavigne's National Provider Identifier is 1205778461, issued on Apr 7, 2026. 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 Apr 7, 2026.