Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Renee Wilson

Individual provider Clinical Social Worker · NPI 1629952064

Alexis Renee Wilson is a Clinical Social Worker in Bowling Green, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2025

Practice location Address checks out

1815 Destiny Ln Ste C
Bowling Green, KY 42104-1074
Phone: (270) 904-1072
Fax: (270) 904-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW00001065 (KY)

Record details

NPI number1629952064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 31, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address1815 Destiny Ln Ste C, Bowling Green, KY 42104-1074

Other providers in Bowling Green