HOLLY WOLLESEN
NPI 1073218277
Social Worker - Clinical in Chicago, IL

Active since April 05, 2023
4740 N CLARK ST, CHICAGO, IL 60640(773) 769-0205 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Wollesen NPPES

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

HOLLY WOLLESEN (NPI 1073218277) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149025349) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1073218277
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY WOLLESEN
Location Address4740 N CLARK STChicago, IL 60640-4689
Mailing Address4740 N Clark StChicago, IL 60640-4689 · (773) 769-0205
Sole ProprietorNo
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1073218277 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 IL · 149025349
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.

4740 N CLARK ST, Chicago, IL 60640

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
4740 N CLARK ST
CHICAGO, IL 60640
Social Worker (Clinical)
4740 N CLARK ST
CHICAGO, IL 60640
Social Worker (Clinical)
4740 N CLARK ST
CHICAGO, IL 60640
Counselor (Mental Health)
4740 N CLARK ST
CHICAGO, IL 60640
Clinic/Center (Mental Health (Including Community Mental Health Center))
4740 N CLARK ST
CHICAGO, IL 60640
Counselor (Professional)
4740 N CLARK ST
CHICAGO, IL 60640
Counselor (Addiction (Substance Use Disorder))
4740 N CLARK ST
CHICAGO, IL 60640
Counselor (Professional)
4740 N CLARK ST
CHICAGO, IL 60640

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 Holly Wollesen's NPI number?

The NPI number for Holly Wollesen is 1073218277. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Holly Wollesen located?

Holly Wollesen practices at 4740 N Clark St, Chicago, IL 60640. The listed phone number is (773) 769-0205.

What is Holly Wollesen's specialty?

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

When was this NPI record last updated?

The NPPES record for Holly Wollesen was last updated on April 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.