Provider Demographics
NPI:1295774537
Name:HAMILTON, DANA (LCSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:FOLLOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:107 CRANES ROOST CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-3650
Mailing Address - Country:US
Mailing Address - Phone:270-765-2605
Mailing Address - Fax:270-766-1222
Practice Address - Street 1:65 OLD SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-9185
Practice Address - Country:US
Practice Address - Phone:270-692-2509
Practice Address - Fax:270-692-2592
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000327936OtherANTHEM
KY30605018Medicaid
KY0358682Medicare ID - Type UnspecifiedMEDICARE
KY0762311Medicare ID - Type UnspecifiedMEDICARE
KY0358984Medicare ID - Type UnspecifiedMEDICARE
KY000000327936OtherANTHEM
KY0763511Medicare ID - Type UnspecifiedMEDICARE
KY0358884Medicare ID - Type UnspecifiedMEDICARE
KY0762214Medicare ID - Type UnspecifiedMEDICARE
KY30605018Medicaid
KY0359084Medicare ID - Type UnspecifiedMEDICARE
KY0358782Medicare ID - Type UnspecifiedMEDICARE