Provider Demographics
NPI:1417985292
Name:DENNY, ELVA L (MS)
Entity Type:Individual
Prefix:MS
First Name:ELVA
Middle Name:L
Last Name:DENNY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 SOUTHPOINT CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-6265
Mailing Address - Country:US
Mailing Address - Phone:219-241-8334
Mailing Address - Fax:219-477-6994
Practice Address - Street 1:951 SOUTHPOINT CIR
Practice Address - Street 2:SUITE B
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-6265
Practice Address - Country:US
Practice Address - Phone:219-241-8334
Practice Address - Fax:219-477-6994
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001117A101YM0800X
IN34002379A1041C0700X
IN35000955A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN090803OtherMANAGED HEALTH NETWORK -
INPV113876OtherAPS HEALTHCARE - LCSW
IN000009317946OtherPHCS - LCSW
IN031449000OtherMAGELLAN - LCSW
IN206482OtherCOMPSYCH - LCSW
IN000000241370OtherANTHEM - LCSW
IN176149OtherVALUE OPTIONS - LCSW
IN5809527OtherAETNA - LCSW
INI017321OtherTRICARE - LCSW
11521312OtherCAQH-NAT'L CREDENTIALING
IN2094821OtherCIGNA - LCSW
IN658600Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER