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

Bethany Lack, CSW

Individual provider Clinical Social Worker · NPI 1386266278

Bethany Lack, CSW is a Clinical Social Worker in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020

Practice location Address checks out

1990 Louisville Rd Ste 107
Bowling Green, KY 42101-1202
Phone: (270) 904-0055
Fax: (270) 904-5110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6100 (KY)

Record details

NPI number1386266278
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW
Sole proprietorNo
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

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