IndividualActive
Alexis Wilson
NPI 1629952064 · Clinical Social Worker · Bowling Green, KY
Provider details
- NPI number
- 1629952064
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW00001065 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1815 Destiny Ln Ste C
Bowling Green, KY 42104-1074
Phone: (270) 904-1072
Fax: (270) 904-1073
Approximate (ZIP-level) locationGet directions
Mailing address
1815 Destiny Ln Ste C
Bowling Green, KY 42104-1074
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.