Provider Demographics
NPI:1508170366
Name:MCELROY, TERESA PATRICIA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:PATRICIA
Last Name:MCELROY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3632 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-2031
Mailing Address - Country:US
Mailing Address - Phone:712-258-8033
Mailing Address - Fax:
Practice Address - Street 1:3632 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-2031
Practice Address - Country:US
Practice Address - Phone:712-258-8033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA043211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical