Provider Demographics
NPI:1265554711
Name:MCELROY, CAROLYN C (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:C
Last Name:MCELROY
Suffix:
Gender:F
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:PO BOX 1261
Mailing Address - Street 2:
Mailing Address - City:DRUMRIGHT
Mailing Address - State:OK
Mailing Address - Zip Code:74030-1261
Mailing Address - Country:US
Mailing Address - Phone:918-729-2026
Mailing Address - Fax:
Practice Address - Street 1:401 S LAYTON AVE
Practice Address - Street 2:
Practice Address - City:DRUMRIGHT
Practice Address - State:OK
Practice Address - Zip Code:74030-4021
Practice Address - Country:US
Practice Address - Phone:918-729-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX309841041C0700X
OK35391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical