CARMEN HOLLEY LSCW
NPI 1366065344
Social Worker - Clinical in Chicago, IL

Active since May 25, 2020
4021 S INDIANA AVE, CHICAGO, IL 60653(773) 556-3522 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmen Holley Lscw NPPES

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

CARMEN HOLLEY LSCW (NPI 1366065344) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.019192) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1366065344
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARMEN HOLLEYCredential: LSCW
Location Address4021 S INDIANA AVEChicago, IL 60653-2111
Mailing Address4021 S Indiana AveChicago, IL 60653-2111 · (773) 556-3522
Sole ProprietorNo
Enumeration DateMay 25, 2020
NPPES CertifiedMay 25, 2020
NPI 1366065344 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 · 149.019192
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.
4021 S INDIANA AVE, Chicago, IL 60653

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 Carmen Holley's NPI number?

The NPI number for Carmen Holley is 1366065344. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Where is Carmen Holley located?

Carmen Holley practices at 4021 S Indiana Ave, Chicago, IL 60653. The listed phone number is (773) 556-3522.

What is Carmen Holley'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 Carmen Holley was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.