Provider Demographics
NPI:1588543433
Name:VELCHEK, ABIGAIL (LSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:VELCHEK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:VELCHEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW
Mailing Address - Street 1:PO BOX 802
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46391-0802
Mailing Address - Country:US
Mailing Address - Phone:219-369-5093
Mailing Address - Fax:
Practice Address - Street 1:319 BARKER RD
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-7403
Practice Address - Country:US
Practice Address - Phone:219-873-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33013182A1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool