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NPI Code Detail

MEDICARE: KIMBERLY MCELROY LCSW

MEDICARE: KIMBERLY MCELROY 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1265819460
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MCELROY LCSW
Provider Business Mailing Address
First Line : 602 N WALTON BLVD
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-4576
Country : US
Telephone Number : 479-464-1060
Fax Number : 479-271-6307
Provider Business Practice Location Address
First Line : 1751 S 8TH ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80905-1926
Country : US
Telephone Number : 719-471-1816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 01/05/2026

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Directions to “ KIMBERLY MCELROY LCSW” Practice Location

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