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

Mr. John Michael Childress Jr., LCSW

Individual provider Clinical Social Worker · NPI 1568662781

Mr. John Michael Childress Jr., LCSW is a Clinical Social Worker in Fort Campbell, Kentucky. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
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 Partly verified

Some contact details are missing from the federal record.

Blanchfield Army Community Hospital 650 Jole Dr
Fort Campbell, KY 42223-5349
Phone: (270) 798-8727
Fax: (270) 956-0180
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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 CW015017 (PA)

Record details

NPI number1568662781
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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