Carmen Holley
Social Worker (Clinical)

Address: 4021 S Indiana Ave, Chicago, IL 60653-2111
Phone: 7735563522

Carmen Holley (NPI# 1366065344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1366065344
Entity Type Individual
Full Name Carmen Holley
Credential LSCW
Gender Female
Practice Address 4021 S Indiana Ave
Chicago
IL 60653-2111
Practice Telephone 7735563522
Mailing Address 4021 S Indiana Ave
Chicago
IL 60653-2111
Mailing Telephone 7735563522
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-05-25
Last Update Date 2020-05-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers 149.019192 IL

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033733159 Lauren Schmidt Social Worker 2559 W Montrose Ave Apt 2a, Chicago, IL 60618-1539 2020-06-04
1770107146 Galen Harper Carter Social Worker 6830 N Ashland Blvd Apt 3, Chicago, IL 60626-6705 2020-06-02
1356965768 Heather M Fraser Social Worker 2430 N Washtenaw Ave Apt 1s, Chicago, IL 60647-0585 2020-06-01
1447874078 Ashley Baker Social Worker 9610 S Forest Ave, Chicago, IL 60628-1408 2020-05-29
1285258814 Addison Lee Ross Social Worker 700 N Sacramento Blvd Ste 201, Chicago, IL 60612-1058 2020-05-29
1477176170 Lumos Counseling, Pllc Social Worker 25 E Washington St Ste 1820, Chicago, IL 60602-1831 2020-05-28
1841813888 Peter George Hutcheon Social Worker 841 W 33rd St Apt 2r, Chicago, IL 60608-6644 2020-05-26
1336762459 Marta M Pocurull-stein Social Worker 900 N Kingsbury St Apt 900, Chicago, IL 60610-7441 2020-05-22
1225651342 Phillip Barker Social Worker 3520 N Lake Shore Dr Apt 9e, Chicago, IL 60657-1808 2020-05-22
1346863842 Jane Kim Social Worker 5408 N Long Ave, Chicago, IL 60630-1321 2020-05-19
Find all providers in CHICAGO

Office Location

Street Address 4021 S INDIANA AVE
City CHICAGO
State IL
Zip Code 60653-2111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215804 Pamela Ann Brazelton-sykes Counselor Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 2020-04-30
1962915439 Pickup Transport Lllp Non-emergency Medical Transport (VAN) 4418 S. Oakenwald Ave, Chicago, IL 60653 2017-11-07
1245758309 Qi Wellness LLC Case Management 525 E 46th Place, Chicago, IL 60653 2017-09-08
1598202897 Fadesire O Ajuwon Registered Nurse 4218 S King Dr, 1n, Chicago, IL 60653 2017-01-24
1013464619 Roundys Supermarkets Inc Pharmacy 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 2016-09-01
1417384793 Griffin Orthodontics PC Dentist 1040 E 47th Street, Chicago, IL 60653 2013-10-02
1114350659 Carita Dale Johnson Pharmacist 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 2013-08-20
1245677848 Mercy Diagnostic and Treatment Center Clinic/Center 3755 S Cottage Grove, Chicago, IL 60653 2013-05-23
1952745937 Mercy Community Pharmacy At Oakwood Shores Pharmacy 3753 S. Cottage Grove, Chicago, IL 60653 2013-04-22
1386952315 Jami S Little Developmental Therapist 617 East 41st, Chicago, IL 60653 2010-09-24
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Competitor

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City CHICAGO
Zip Code 60653

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.