Provider Demographics
NPI:1811176159
Name:MCELWAINE, PATRICK (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:MCELWAINE
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CAMPUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1761
Mailing Address - Country:US
Mailing Address - Phone:267-341-4014
Mailing Address - Fax:
Practice Address - Street 1:1 CAMPUS DRIVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:PA
Practice Address - Zip Code:18940-1761
Practice Address - Country:US
Practice Address - Phone:267-341-4014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004684101YM0800X, 101YP2500X, 101Y00000X
PAPS018188103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty