Provider Demographics
NPI:1407736572
Name:MCELWEE, DALE LYNN (BSW,CADC)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:LYNN
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:BSW,CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 LAIRD ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-6915
Mailing Address - Country:US
Mailing Address - Phone:570-409-7880
Mailing Address - Fax:570-704-5060
Practice Address - Street 1:307 LAIRD ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6915
Practice Address - Country:US
Practice Address - Phone:570-409-7880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)