Keneysha Cowden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105636 Issued in TX

Practice address

2204 Juarez Dr
Fort Worth, TX 76177-1200

Phone

(270) 319-2819

Fax

(817) 880-7117

NPI assigned

Jun 6, 2012

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1922369073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 JUAREZ DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771200",
            "telephone_number": "270-319-2819",
            "fax_number": "817-880-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 JUAREZ DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771200",
            "telephone_number": "270-319-2819",
            "fax_number": "817-880-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWDEN",
        "first_name": "KENEYSHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006818",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105636",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204881",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Eliska Cowan, ARNP
• Gary Milton Cowan, M.D.
• Michael R Cowan, DO
• Todd Kreig Cowan, M.D.
• Kayla Cowden, PA-C
• Christina Cowen
• Rachael Nicole Cowling, NP
• Cowtown Anesthesia Serivces, L.L.P.
• Cowtown Chiropractic
• Cowtown Christian Counseling PLLC

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.