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HOLLY JEAN WALLRAFF LCSW
NPI 1245586999
Social Worker - Clinical in Georgetown, TX

Active since July 31, 2012PECOS Enrolled
1612 WILLIAMS DR, GEORGETOWN, TX 78628(309) 574-0014 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holly Jean Wallraff Lcsw NPPES

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

HOLLY JEAN WALLRAFF LCSW (NPI 1245586999) is an individual clinical provider in Georgetown, Texas, licensed in Texas (56842) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245586999
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY JEAN WALLRAFFCredential: LCSW
Location Address1612 WILLIAMS DRGeorgetown, TX 78628-3660
Mailing Address4903 Heather Ln Apt AKilleen, TX 76549-4878 · (309) 574-0014
Phone(309) 574-0014
Sole ProprietorNo
Enumeration DateJuly 31, 2012
Last NPPES UpdateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
✔ NPI 1245586999 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 TX · 56842
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.
1612 WILLIAMS DR, Georgetown, TX 78628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Jean Wallraff Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Holly Wallraff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Moon Senior Counseling Of Illinois LLC
925 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1841562931 (855) 241-7160
Sailor Health Medical PA
1,114 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Illinois and Texas enrollments
  • 38 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78628 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 $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

BROOKE BORDIC MA, LPCA
Counselor (Mental Health)
1612 WILLIAMS DR
GEORGETOWN, TX 78628
Williamson County (512) 521-4652

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 Wallraff's NPI number?

The NPI number for Holly Wallraff is 1245586999. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Holly Wallraff located?

Holly Wallraff practices at 1612 Williams Dr, Georgetown, TX 78628. The listed phone number is (309) 574-0014.

What is Holly Wallraff's specialty?

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

Is Holly Wallraff enrolled in Medicare?

Yes. Holly Wallraff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Wallraff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Wallraff reassigns Medicare benefits to 2 organizations: Blue Moon Senior Counseling Of Illinois LLC (Plainfield, IL) and Sailor Health Medical PA (Coral Gables, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Wallraff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Wallraff accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and WellPoint list Holly Wallraff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Wallraff was last updated on July 6, 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.