Provider Demographics
NPI:1396963526
Name:GILKEY, ANDREA DIANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:DIANNE
Last Name:GILKEY
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 1:527 FOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4655
Mailing Address - Country:US
Mailing Address - Phone:502-807-9615
Mailing Address - Fax:502-896-1108
Practice Address - Street 1:9900 SHELBYVILLE RD
Practice Address - Street 2:SUITE 11B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-2937
Practice Address - Country:US
Practice Address - Phone:502-807-9615
Practice Address - Fax:502-896-1108
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY30791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical