Provider Demographics
NPI:1538550785
Name:PROWELL, ZOE (LCSW)
Entity type:Individual
Prefix:MISS
First Name:ZOE
Middle Name:
Last Name:PROWELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6844 BARDSTOWN RD # 510
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3050
Mailing Address - Country:US
Mailing Address - Phone:502-715-1996
Mailing Address - Fax:
Practice Address - Street 1:6844 BARDSTOWN RD # 510
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3050
Practice Address - Country:US
Practice Address - Phone:502-715-1996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2528421041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical