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ALEXIS RENEE WILSON
NPI 1629952064
Social Worker - Clinical in Bowling Green, KY

Active since July 31, 2025
1815 DESTINY LN STE C, BOWLING GREEN, KY 42104(270) 904-1072(270) 904-1073 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexis Renee Wilson NPPES

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

ALEXIS RENEE WILSON (NPI 1629952064) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (LCSW00001065) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1629952064
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXIS RENEE WILSON
Location Address1815 DESTINY LN STE CBowling Green, KY 42104-1074
Mailing Address1815 Destiny Ln Ste CBowling Green, KY 42104-1074 · (270) 904-1072 · Fax (270) 904-1073
Phone(270) 904-1072
Fax(270) 904-1073
Sole ProprietorYes
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1629952064 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 · LCSW00001065
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.
1815 DESTINY LN STE C, Bowling Green, KY 42104
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Other Providers at the Same Location NPPES 2

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

KIMBERLY R WILSON LCSW
Social Worker (Clinical)
1815 DESTINY LN STE C
BOWLING GREEN, KY 42104
Warren County (270) 904-1072
MS. ABBY N DILL LCSW
Social Worker (Clinical)
1815 DESTINY LN STE C
BOWLING GREEN, KY 42104
Warren County (270) 904-1072

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 Alexis Wilson's NPI number?

The NPI number for Alexis Wilson is 1629952064. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Alexis Wilson located?

Alexis Wilson practices at 1815 Destiny Ln Ste C, Bowling Green, KY 42104. The listed phone number is (270) 904-1072.

What is Alexis Wilson'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 Alexis Wilson was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.