PHOENIX K FOWLER LCSW
NPI 1104589498
Social Worker - Clinical in Louisville, KY

Q: What is Phoenix Fowler's NPI number?

The NPI number for Phoenix Fowler is 1104589498. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Q: What is Phoenix Fowler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Phoenix Fowler was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2021PECOS Enrolled

11103 PARK RD, LOUISVILLE, KY 40223(502) 589-8600 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Phoenix K Fowler Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX K FOWLER LCSW (NPI 1104589498) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (256081) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104589498

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NamePHOENIX K FOWLERCredential: LCSW

Location Address11103 PARK RDLouisville, KY 40223-2424

Mailing Address10401 Linn Station Rd Ste 100Louisville, KY 40223-3842

Phone(502) 589-8600

Sole ProprietorYes

Enumeration DateOctober 14, 2021

NPPES CertifiedJuly 16, 2021

✔ NPI 1104589498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 256081

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X

11103 PARK RD, Louisville, KY 40223

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix K Fowler Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phoenix Fowler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seven Counties Services, Inc.

3.1 mi

Mental Health (Including Community Mental Health Center)

10401 LINN STATION RD STE 100
Louisville, KY 40223

Reassigned Medicare billing, Kentucky enrollment
309 clinicians in this Medicare group

NPI 1598793671 (502) 589-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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