Provider Demographics
NPI:1851525331
Name:BOWEN, STEVEN CASTO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CASTO
Last Name:BOWEN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1158 GOLD VAULT RD
Mailing Address - Street 2:BLDG. 7741
Mailing Address - City:FORT KNOX
Mailing Address - State:KY
Mailing Address - Zip Code:40121-5184
Mailing Address - Country:US
Mailing Address - Phone:502-624-5411
Mailing Address - Fax:502-624-6892
Practice Address - Street 1:1158 GOLD VAULT RD
Practice Address - Street 2:BLDG. 7741
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-5184
Practice Address - Country:US
Practice Address - Phone:502-624-5411
Practice Address - Fax:502-624-6892
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical