Individual
KATHRYN R DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-2250
Mailing address
950 N MERIDIAN ST STE 910, INDIANAPOLIS, IN 46204-1077
(888) 484-3258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103728978
ANTHEM
IN
05
—
300083056
—
IN
Enumeration date
09/05/2023
Last updated
10/09/2025
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