Provider Demographics
NPI:1194758912
Name:MCELWEE, MICHAEL R (MSW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:MCELWEE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W NATIONAL AVE
Mailing Address - Street 2:RECC/HBPC
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53295-0002
Mailing Address - Country:US
Mailing Address - Phone:414-384-2000
Mailing Address - Fax:414-382-5347
Practice Address - Street 1:5000 W NATIONAL AVE
Practice Address - Street 2:RECC/HBPC
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295-0002
Practice Address - Country:US
Practice Address - Phone:414-384-2000
Practice Address - Fax:414-382-5347
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker