Stacy Lynn McElderry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-44859 Issued in MT

Practice address

35401 Mission Dr
Saint Ignatius, MT 59865-7791

Phone

(406) 745-3525

NPI assigned

Nov 18, 2020

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Confederated Salish and Kootenai Tribes of the Flathead Reservation

  • Federally Qualified Health Center (FQHC)
  • St Ignatius, MT
  • NPI 1952402208

  Single Specialty

  Medicare reassignment NPD
• Confederated Salish & Kootenai Tribes of the Flathead Reservation

  dba CSKT St. Ignatius Health Center Pharmacy

  • Community/Retail Pharmacy
  • St Ignatius, MT
  • NPI 1669502316
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1568065944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41868 SAINT MARYS LAKE RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659750",
            "telephone_number": "406-370-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598657791",
            "telephone_number": "406-745-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELDERRY",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-44859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477745370",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyndi Lu Marengo, RDH
• Maxine Martinez
• Shawn Patrick Matt
• Sandra Lee McBride, R.T. (R)
• Patricia Anne McClure Buffalo, LAC
• Tamara Lee McKeeman, DENTAL HYGIENIST
• Sarin McKenna, DMD
• Crystal Meyer
• Manuel Miller, RD
• Millpond Home

• Clinical Social Worker in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.