William Lee Fowlkes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252309 Issued in KY

Practice address

1830 Destiny LN Ste 110
Bowling Green, KY 42104-1088

Phone

(270) 904-6567

NPI assigned

Nov 22, 2023

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Counseling Associates

  • Mental Health Counselor
  • Glasgow, KY
  • NPI 1285938209

  Clinical

  Medicare reassignment NPD
• Family Restorations LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Bowling Green, KY
  • NPI 1871165720
  NPD Authorized official
• Alliance Center for Community Empowerment and Support Services, LLC

  dba Access

  • Community/Behavioral Health Agency
  • Glasgow, KY
  • NPI 1245635796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1205601929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HOMESTEAD CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044122",
            "telephone_number": "270-535-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN STE 110",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041088",
            "telephone_number": "270-904-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Foster
• Angela Leigh Fountain, APRN
• Emily Mae Fountain, DO
• Guy Foust
• Kelly R Foust, LCSW
• Emily Danielle Fox, M.S., CCC-SLP
• Jessica Francies
• Robert A Francis, MD
• Kimberly Frank, LPCC, LMFT
• Lashandra Frank, LPCA

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.