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

Phoenix K Fowler, LCSW

Individual provider Social Worker · NPI 1104589498

Phoenix K Fowler, LCSW is a Social Worker in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2021
Specialties on file
2
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

11103 Park Rd
Louisville, KY 40223-2424
Phone: (502) 589-8600
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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 256081 (KY)
Social Worker Taxonomy 104100000X

Record details

NPI number1104589498
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 14, 2021
Last updated in NPPESOctober 14, 2021
Certification dateJuly 16, 2021

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