Steven Casto Bowen, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Fort Knox, KY

NPI 1851525331 · NPPES record last updated May 12, 2009

Key facts

NPI
1851525331
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1358 (KY)
Practice address
1158 Gold Vault Rd
BLDG. 7741
Fort Knox, KY 40121-5184
Phone
(502) 624-5411
Fax
(502) 624-6892
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1358KYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1358 KY Yes

Addresses

Primary practice location

1158 Gold Vault Rd
BLDG. 7741
Fort Knox, KY 40121-5184

Mailing address

1158 Gold Vault Rd
BLDG. 7741
Fort Knox, KY 40121-5184
Phone (502) 624-5411

Other providers in Fort Knox, KY

All providers in Fort Knox, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.