Elizabeth Love McGillivray, LCSW
Individual provider Active NPI Clinical Social Worker · Pontotoc, MS
NPI 1407299209 · NPPES record last updated Sep 2, 2014
Key facts
- NPI
- 1407299209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C7370 (MS)
- Practice address
- 356 E Oxford St
Pontotoc, MS 38863-2314 - Phone
- (662) 296-1040
- NPI assigned
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| C7370 | MS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C7370 | MS | Yes |
Addresses
Primary practice location
356 E Oxford St
Pontotoc, MS 38863-2314
Mailing address
356 E Oxford St.
Pontotoc, MS 38863
Phone (662) 296-1040
Other providers in Pontotoc, MS
- Tammy Martin
- Eric Mayfield
- Miranda Wood Maynard
- Tyler Mickey McCay
- Emily L McCormac
- Tara McMillen
- Thomas Shane McMullen
- Krista McNutt
- Med-Mart Home Care Inc
- Christopher Michael
All providers in Pontotoc, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2014. 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.