Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stephanie Kaylynn Thacker, LCSW

Individual provider Clinical Social Worker · NPI 1750291456

Stephanie Kaylynn Thacker, LCSW is a Clinical Social Worker in Fort Campbell, Kentucky. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
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

650 Joel Dr
Fort Campbell, KY 42223-8355
Phone: (815) 228-5137
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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 149027705 (IL)

Record details

NPI number1750291456
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 8, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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