Individual
CODY FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1133 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 491-2615
Mailing address
1133 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 491-2615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900165A
IN
1041C0700X
Clinical Social Worker
Primary
34011834A
IN
Other
Enumeration date
02/24/2023
Last updated
09/18/2025
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