Provider Demographics
NPI:1023798337
Name:ELMORE, JOHN WILLIAM IV (MSW, LSWA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WILLIAM
Last Name:ELMORE
Suffix:IV
Gender:M
Credentials:MSW, LSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 LOWER WESTFIELD RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2744
Mailing Address - Country:US
Mailing Address - Phone:413-273-4461
Mailing Address - Fax:
Practice Address - Street 1:98 LOWER WESTFIELD RD STE 202
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2744
Practice Address - Country:US
Practice Address - Phone:413-739-5626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical