Basic Information
| Provider Information | |||||||||
| NPI: | 1447581822 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCELWEE | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1995 | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 391301995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6016951919 | ||||||||
| FaxNumber: | 6014205299 | ||||||||
| Practice Location | |||||||||
| Address1: | 254 INGLESIDE DR | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 391109524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6016951919 | ||||||||
| FaxNumber: | 6014205299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2010 | ||||||||
| LastUpdateDate: | 01/25/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 8757 | LA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.