| Doctor Name: | JOAN THERESA MCELROY |
| NPI Number: | 1174675433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 37CA00053000 |
| Business Practice Address: | 616 Bloomfield Avenue Suite 3a West Caldwell, NJ - 07006 |
| Business Phone Number: | 9737443773 |
| Business Fax Number: | |
| Mailing Address: | 415 Claremont Avenue, 2c MONTCLAIR |
| State: | NJ |
| Postal Code: | 07042 |
| Phone Number: | 9737443773 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37CA00053000 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |