Provider Demographics
NPI:1609494335
Name:MCELROY, KAYLA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:MCELROY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 LAFEVER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER POINT
Mailing Address - State:TN
Mailing Address - Zip Code:38582-7939
Mailing Address - Country:US
Mailing Address - Phone:715-559-7508
Mailing Address - Fax:
Practice Address - Street 1:4623 TROUSDALE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4584
Practice Address - Country:US
Practice Address - Phone:615-301-8431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI129433-121104100000X
MN214651041C0700X
TN72741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker