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

Individual provider Social Worker · NPI 1275242869

Kevin Grant Fackler, TSW is a Social Worker in Louisville, Kentucky. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

4922 Lagoona Dr
Louisville, KY 40219-5404
Phone: (502) 396-2358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 99114992A (IN)

Record details

NPI number1275242869
Entity typeIndividual (Type 1)
GenderMale
Credentials TSW
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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