Individual provider · Type 1 NPI

Alexis Renee Wilson

Clinical Social Worker · Bowling Green, KY

NPI number 1629952064 Active

Practice location

1815 Destiny Ln Ste C
Bowling Green, KY 42104-1074

Fax (270) 904-1073

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW00001065 (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 1629952064

Alexis Renee Wilson's National Provider Identifier is 1629952064, issued on Jul 31, 2025. 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 Jul 31, 2025.