Provider Demographics
NPI:1437410248
Name:PELKEY, DANA (LCSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:PELKEY
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 1:424 N WHITCOMB AVE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-2732
Mailing Address - Country:US
Mailing Address - Phone:518-524-3623
Mailing Address - Fax:
Practice Address - Street 1:TRAGER TRANSPLANT CENTER
Practice Address - Street 2:220 ABRAHAM FLEXNER WAY
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3495
Practice Address - Country:US
Practice Address - Phone:502-582-7489
Practice Address - Fax:502-587-4319
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2574491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical