Provider Demographics
NPI:1649941972
Name:BOWLING, JAMES PARKER (LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PARKER
Last Name:BOWLING
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 1:3234 TODDS POINT RD
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40067-6421
Mailing Address - Country:US
Mailing Address - Phone:502-299-9719
Mailing Address - Fax:
Practice Address - Street 1:3234 TODDS POINT RD
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:KY
Practice Address - Zip Code:40067-6421
Practice Address - Country:US
Practice Address - Phone:502-299-9719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2595521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical