John Leon McElroy
Individual provider Active NPI Clinical Social Worker · Riddle, OR
NPI 1154755189 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1154755189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L7816 (OR)
- Practice address
- 460 E 5TH Ave
Riddle, OR 97469-8741 - Phone
- (541) 838-0021
- NPI assigned
- Aug 27, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7816 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L7816 | OR | Yes |
Addresses
Primary practice location
460 E 5TH Ave
Riddle, OR 97469-8741
Mailing address
PO Box 311
Riddle, OR 97469-0311
Phone (541) 838-0021
Other providers in Riddle, OR
- Ruth M. Fenton
- Angelina Maxine Hogue
- Kathryn Sue McGinnis
- Blake Rice
- Riddle Dental Care Associates
- Riddle Dental Care Associates
- Riddle Pharmacy LLC
All providers in Riddle, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.