Mcelderry, Stacy Lynn

Mcelderry, Stacy Lynn is an sole proprietor health care provider with primary practice located at 35401 Mission Dr , Saint Ignatius MT 59865-7791. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcelderry, Stacy Lynn can be contacted via phone (406) 745-3525.

Contact Information

Primary practice address
35401 Mission Dr Saint Ignatius MT 59865-7791
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X BBH-LCSW-LIC-44859 Montana

Profile Details

NPI number 1568065944
LBN Legal business name Mcelderry, Stacy Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2020
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568065944 NPPES
Montana MEDICAID 1477745370

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