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MRS. KRISTIN DANIELLE HOLLIS LCSW
NPI 1023522687
Social Worker - Clinical in Camp Hill, PA

Active since November 18, 2017Opted out of Medicare · through May 30, 2027
207 HOUSE AVE STE 109, CAMP HILL, PA 17011(717) 745-6166 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Mar 17, 2018, Nov 18, 2017 (3 updates tracked since 2017).

About Mrs. Kristin Danielle Hollis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTIN DANIELLE HOLLIS LCSW (NPI 1023522687) is an individual clinical provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (CW019704) and active in the NPI registry since November 2017. She has opted out of Medicare through May 30, 2027.

NPPES Registry Identity

NPI1023522687
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRISTIN DANIELLE HOLLISCredential: LCSW
Location Address207 HOUSE AVE STE 109Camp Hill, PA 17011-2308
Mailing Address207 House Ave Ste 109Camp Hill, PA 17011-2308
Phone(717) 745-6166
Sole ProprietorNo
Enumeration DateNovember 18, 2017
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1023522687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW019704
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.
207 HOUSE AVE STE 109, Camp Hill, PA 17011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kristin Danielle Hollis Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2025 through May 30, 2027.

Opt-Out Effective DateMay 30, 2025
Opt-Out In Effect ThroughMay 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLE ELIZABETH NUGENT
Counselor (Professional)
207 HOUSE AVE STE 109
CAMP HILL, PA 17011
Cumberland County (717) 745-6166
LIFESPIRE LLC
Psychologist
207 HOUSE AVE STE 109
CAMP HILL, PA 17011
Cumberland County (717) 745-6166
AMYA TUCKEY
Counselor (Professional)
207 HOUSE AVE STE 109
CAMP HILL, PA 17011
Cumberland County (717) 745-6166
DR. JAMIE MARIE BOLTON PSY.D.
Psychologist
207 HOUSE AVE STE 109
CAMP HILL, PA 17011
Cumberland County (717) 745-6166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Hollis's NPI number?

The NPI number for Kristin Hollis is 1023522687. It was assigned to this individual provider in the NPPES registry on November 18, 2017.

Where is Kristin Hollis located?

Kristin Hollis practices at 207 House Ave Ste 109, Camp Hill, PA 17011. The listed phone number is (717) 745-6166.

What is Kristin Hollis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristin Hollis enrolled in Medicare?

No. Kristin Hollis has opted out of Medicare through May 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristin Hollis was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.