Provider Demographics
NPI:1548306475
Name:MCELVEEN, STEPHANIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:MCELVEEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2404 HUBBARD STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-2911
Mailing Address - Country:US
Mailing Address - Phone:904-902-2454
Mailing Address - Fax:888-474-2998
Practice Address - Street 1:2404 HUBBARD STREET
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-2911
Practice Address - Country:US
Practice Address - Phone:904-902-2454
Practice Address - Fax:888-474-2998
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0047141041C0700X, 106H00000X
104100000X
FLSW111491041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker