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Cody Fenwick, LCSW

Social Worker, Clinical in Evansville, IN. Individual provider (NPI-1).

NPI number1003515313
StatusActive
Last updated in NPPESSep 18, 2025

Details

NPI
1003515313
Entity type
Individual (NPI-1)
Name
Cody Fenwick
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 24, 2023
Certification date
Sep 18, 2025
Last updated
Sep 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical34011834AINYes
101YA0400X Counselor, Addiction (Substance Use Disorder)87900165AIN

Practice location

1133 Lincoln Ave
Evansville, IN 47714-1028

Phone 812-491-2615

Mailing address

1133 Lincoln Ave
Evansville, IN 47714-1028

Phone 812-491-2615

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