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MRS. LYNNE CHANTEL HOLLEY LCSW, LCADC
NPI 1134677248
Social Worker - Clinical in Irvington, NJ

Active since September 17, 2016PECOS EnrolledAccepts Medicare Assignment
50 UNION AVE STE 804B, IRVINGTON, NJ 07111(770) 568-0619(973) 629-1741 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 21, 2017, Mar 26, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Lynne Chantel Holley Lcsw, Lcadc NPPES

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

MRS. LYNNE CHANTEL HOLLEY LCSW, LCADC (NPI 1134677248) is an individual clinical provider in Irvington, New Jersey, licensed in New Jersey (44SC05717900) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134677248
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LYNNE CHANTEL HOLLEYCredential: LCSW, LCADC
Location Address50 UNION AVE STE 804BIrvington, NJ 07111-5221
Mailing AddressPo Box 358South Orange, NJ 07079-0358 · (770) 568-0619 · Fax (973) 629-1741
Phone(770) 568-0619
Fax(973) 629-1741
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 17, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1134677248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05717900
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00259900 (NJ)
50 UNION AVE STE 804B, Irvington, NJ 07111
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Other Names 1

Former Name (1)Ms. Lynne Chantel Mallory

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lynne Chantel Holley Lcsw, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921370180
PECOS Enrollment IDI20250918003413
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FENNELL-POWELL COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Essex County (973) 951-8541
PHOENIX RISINGS COUNSELING CENTER LLC
Social Worker (Clinical)
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Essex County (770) 568-0619
SHELLEYS WAY
Counselor (Mental Health)
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Essex County (862) 438-6121
AUDREY REDDING-RAINES PH.D.
Social Worker
50 UNION AVE STE 804B
IRVINGTON, NJ 07111
Essex County (201) 709-4094

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 Lynne Holley's NPI number?

The NPI number for Lynne Holley is 1134677248. It was assigned to this individual provider in the NPPES registry on September 17, 2016. The provider is also known as Ms. Lynne Chantel Mallory.

Where is Lynne Holley located?

Lynne Holley practices at 50 Union Ave Ste 804B, Irvington, NJ 07111. The listed phone number is (770) 568-0619.

What is Lynne Holley's specialty?

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

Is Lynne Holley enrolled in Medicare?

Yes. Lynne Holley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lynne Holley was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.