BETHANY LACK CSW
NPI 1386266278
Social Worker - Clinical in Bowling Green, KY

Active since May 13, 2020
1990 LOUISVILLE RD STE 107, BOWLING GREEN, KY 42101(270) 904-0055(270) 904-5110 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany Lack Csw NPPES

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

BETHANY LACK CSW (NPI 1386266278) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (6100) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1386266278
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETHANY LACKCredential: CSW
Location Address1990 LOUISVILLE RD STE 107Bowling Green, KY 42101-1202
Mailing Address1990 Louisville Rd Ste 107Bowling Green, KY 42101-1202 · (270) 904-0055 · Fax (270) 904-5110
Fax(270) 904-5110
Sole ProprietorNo
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
NPI 1386266278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · 6100
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.

1990 LOUISVILLE RD STE 107, Bowling Green, KY 42101

Other Providers at the Same Location NPPES 8

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

In Home Supportive Care
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Counselor (Professional)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Social Worker (Clinical)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Social Worker (Clinical)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Social Worker (Clinical)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Social Worker (Clinical)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Social Worker (Clinical)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101
Social Worker (Clinical)
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Lack's NPI number?

The NPI number for Bethany Lack is 1386266278. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Bethany Lack located?

Bethany Lack practices at 1990 Louisville Rd Ste 107, Bowling Green, KY 42101. The listed phone number is (270) 904-0055.

What is Bethany Lack's specialty?

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

When was this NPI record last updated?

The NPPES record for Bethany Lack was last updated on May 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.