Individual provider Active NPI

Joseph Kenneth McElduff, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1265445571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2049-C Issued in AR
Practice address
4300 W 7TH St
11HC/LR (VA Home Health)
Little Rock, AR 72205-5446
Phone
(501) 257-5080
Fax
(501) 257-5079
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2049-C AR Primary

Addresses

Primary practice location

4300 W 7TH St
11HC/LR (VA Home Health)
Little Rock, AR 72205-5446

Mailing address

4300 W. 7TH
11HC/LR (VA Home Health)
Little Rock, AR 72205-5484
Phone (501) 257-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2049-CARMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265445571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W. 7TH",
            "address_2": "11HC/LR (VA HOME HEALTH)",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055484",
            "telephone_number": "501-257-5080",
            "fax_number": "501-257-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "address_2": "11HC/LR (VA HOME HEALTH)",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-5080",
            "fax_number": "501-257-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELDUFF",
        "first_name": "JOSEPH",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2049-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.