Active NPI
Cathy Davidson McElroy, LCSW
- Clinical Social Worker
- Conway, SC
National Provider Identifier
1710028451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8774
- Practice address
- 110 Ashwood Circle
Conway, SC 29526-8900 - Phone
- (973) 663-6204
- Fax
- (843) 347-6258
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04691500 | NJ | |
| Clinical Social Worker | 1041C0700X | C004954 | NC | |
| Clinical Social Worker | 1041C0700X | 8774 | SC | Primary |
Addresses
Primary practice location
110 Ashwood Circle
Conway, SC 29526-8900
Mailing address
110 Ashwood Circle
Conway, SC 29526-8900
Phone (973) 663-6204
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004954 | NC | MD | Clinical Social Worker |
| 8774 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710028451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ASHWOOD CIRCLE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268900",
"telephone_number": "973-663-6204",
"fax_number": "843-347-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ASHWOOD CIRCLE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268900",
"telephone_number": "973-663-6204",
"fax_number": "843-347-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "CATHY",
"middle_name": "DAVIDSON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04691500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004954",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "8774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
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.