Provider Demographics
NPI:1639181365
Name:DUNAWAY, ELAINE K (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:K
Last Name:DUNAWAY
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:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-689-7000
Mailing Address - Fax:540-689-7011
Practice Address - Street 1:2008 HEALTH CAMPUS DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8679
Practice Address - Country:US
Practice Address - Phone:540-689-7000
Practice Address - Fax:540-689-7011
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040023081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1639181365Medicaid
VA188101OtherCOMPSYCH PROVIDER NUMBER
VA1417027608OtherRMH GROUP NPI
VA235000OtherANTEHM PROVIDER NUMBER
VA2006866OtherCIGNA PROVIDER NUMBER
VAC05754OtherMEDICARE GROUP NUMBER
VA11525939OtherCAQH PROVIDER NUMBER
VA008918601Medicaid
VA800002356Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
VA084647OtherSENTARA PROVIDER NUMBER
VA259818OtherVALUE OPTIONS PROVIDER NO
VAR65515Medicare UPIN