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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548692189

Courtney Creal Wallace, LCSW, CADC is an Addiction (Substance Use Disorder) Counselor in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.

Licensed in
KY
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

1432 S Shelby St
Louisville, KY 40217-1166
Phone: (502) 635-4538
Fax: (502) 635-4570
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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 3882 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1771 (KY)

Record details

NPI number1548692189
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADC
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESMay 28, 2014

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