Provider Demographics
NPI:1003385725
Name:DANCY, KRYSTAL MARIE LEE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:MARIE LEE
Last Name:DANCY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:MARIE
Other - Last Name:MCCULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:CMR 414 BOX 1463
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09173-1015
Mailing Address - Country:US
Mailing Address - Phone:919-394-4041
Mailing Address - Fax:
Practice Address - Street 1:USAG HOHENFELS ARMY HEALTH CLINIC
Practice Address - Street 2:
Practice Address - City:HOHENFELS
Practice Address - State:GERMANY
Practice Address - Zip Code:09173
Practice Address - Country:DE
Practice Address - Phone:314-590-3354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0115361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical