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

Keith A Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1629043609

Keith A Wilson, LCSW is a Clinical Social Worker in Fort Campbell, Kentucky. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8601
Fax: (270) 798-8239
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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 004702 (TN)

Record details

NPI number1629043609
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 40406, Nashville, TN 37204-0406

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