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

Kimberly Fowler, LCSW

Individual provider Clinical Social Worker · NPI 1831245166

Kimberly Fowler, LCSW is a Clinical Social Worker in Jackson, Tennessee. Qualified in 2010, 16 years ago. Practices with Ultra Health LLC, a 162-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
16
Licensed in
TN
In the registry since
2007
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

170 Smithfield Dr
Jackson, TN 38305-1817
Phone: (731) 300-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1804 Highway 45 Byp, Jackson, TN 38305-4436 — (731) 935-8200
  • 104 Cude Ln Ste 168, Madison, TN 37115-2202 — (615) 868-9959
  • 1101 Fox Meadows Blvd Ste 105, Sevierville, TN 37862-6937 — (865) 280-2700
  • 801 Hill St Ste B, Springfield, TN 37172-2951 — (615) 382-3002

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6216 (TN)

Record details

NPI number1831245166
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address1000 Urban Center Dr Ste 600, Vestavia, AL 35242-2584

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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