Provider Demographics
NPI:1023215829
Name:MERIDETH MCELROY, MSW CHARTERED, INCL
Entity Type:Organization
Organization Name:MERIDETH MCELROY, MSW CHARTERED, INCL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MERIDETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:239-649-6242
Mailing Address - Street 1:5051 CASTELLO DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8982
Mailing Address - Country:US
Mailing Address - Phone:239-649-6242
Mailing Address - Fax:239-261-5297
Practice Address - Street 1:5051 CASTELLO DR
Practice Address - Street 2:SUITE 208
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8982
Practice Address - Country:US
Practice Address - Phone:239-649-6242
Practice Address - Fax:239-261-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW13791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4257Medicare ID - Type UnspecifiedCLINICAL SOCIALWORKER