Provider Demographics
NPI:1265445571
Name:MCELDUFF, JOSEPH KENNETH (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:KENNETH
Last Name:MCELDUFF
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 W. 7TH
Mailing Address - Street 2:11HC/LR (VA HOME HEALTH)
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5484
Mailing Address - Country:US
Mailing Address - Phone:501-257-5080
Mailing Address - Fax:501-257-5079
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:11HC/LR (VA HOME HEALTH)
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-5080
Practice Address - Fax:501-257-5079
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2049-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical