MEDICARE: WINONA ELROD 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	2653-C	AR

General Provider Information

NPI Number	:	1841467321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINONA ELROD LCSW

Provider Business Mailing Address
First Line	:	1801 EXECUTIVE SQ
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-6086
Country	:	US
Telephone Number	:	870-316-0688
Fax Number	:	855-292-2594

Provider Business Practice Location Address
First Line	:	1218 STONE ST STE 110
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-4568
Country	:	US
Telephone Number	:	870-316-0688
Fax Number	:	870-910-0550

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	03/13/2026

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Directions to “ WINONA ELROD LCSW” Practice Location

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