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

Kimberly R Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1255639431

Kimberly R Wilson, LCSW is a Clinical Social Worker in Bowling Green, Kentucky. Qualified in 2005, 21 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
21
Licensed in
KY
In the registry since
2011
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

1815 Destiny Ln Ste C
Bowling Green, KY 42104-1074
Phone: (270) 904-1072
Fax: (270) 904-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1312 Westen St, Bowling Green, KY 42104-3352 — (270) 904-1072
  • 252 N Main St, Russellville, KY 42276-1825 — (270) 904-1072

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence KY 3505 (KY)

Record details

NPI number1255639431
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 11, 2011
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bowling Green