MEDICARE: ELIZABETH ANN MCLANAHAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW14310	FL
2	101YM0800X	Mental Health Counselor		FL

General Provider Information

NPI Number	:	1184740656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN MCLANAHAN LCSW

Provider Business Mailing Address
First Line	:	3 FERRY RD NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-5132
Country	:	US
Telephone Number	:	850-855-8711
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 FERRY RD NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-5133
Country	:	US
Telephone Number	:	850-855-9909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/06/2026

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