Provider Demographics
NPI:1790316644
Name:STEIN-KILEY, DAVI (LCSW, LMFT, LCAC)
Entity Type:Individual
Prefix:
First Name:DAVI
Middle Name:
Last Name:STEIN-KILEY
Suffix:
Gender:F
Credentials:LCSW, LMFT, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 E MAIN ST STE 500
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-2949
Mailing Address - Country:US
Mailing Address - Phone:812-550-5849
Mailing Address - Fax:
Practice Address - Street 1:2680 E MAIN ST STE 500
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-2949
Practice Address - Country:US
Practice Address - Phone:317-663-9802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000904A101YA0400X
IN35000161A106H00000X
IN34002439A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist