Provider Demographics
NPI:1598333973
Name:DUNN, ALEXANDRIA O'DELL (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:O'DELL
Last Name:DUNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:O'DELL
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1937 UNION ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-4239
Mailing Address - Country:US
Mailing Address - Phone:317-586-8344
Mailing Address - Fax:
Practice Address - Street 1:1937 UNION ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-4239
Practice Address - Country:US
Practice Address - Phone:317-586-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2024-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34010080A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical