MS. KELLEY ANN HOLLOWAY LCSW-C
NPI 1396144713
Social Worker - Clinical in Berlin, MD
About Ms. Kelley Ann Holloway Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLEY ANN HOLLOWAY LCSW-C (NPI 1396144713) is an individual clinical provider in Berlin, Maryland, licensed in Maryland (20005) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelley Ann Holloway Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelley Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Princess Anne, MD 21853
- Reassigned Medicare billing, Maryland enrollment
- 121 clinicians in this Medicare group
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 21811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERLIN, MD 21811
BERLIN, MD 21811
BERLIN, MD 21811
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 Kelley Holloway's NPI number?
The NPI number for Kelley Holloway is 1396144713. It was assigned to this individual provider in the NPPES registry on August 21, 2014. The provider is also known as Ms. Kelley Holloway Wootten Lcsw-C.
Where is Kelley Holloway located?
Kelley Holloway practices at 10344 Old Ocean City Blvd Ste 2, Berlin, MD 21811. The listed phone number is (410) 641-3340.
What is Kelley Holloway's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelley Holloway enrolled in Medicare?
Yes. Kelley Holloway is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelley Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Holloway reassigns Medicare benefits to Three Lower Counties Community Services, Inc. (Princess Anne, MD). The 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 Kelley Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Holloway was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelley Ann Holloway, LCSW-C · NPI 1396144713
Clinical provider in Berlin, Maryland. Individual provider, active in the CMS NPPES registry since August 21, 2014.
## Identity
- **NPI:** 1396144713 (Entity type: Individual)
- **Enumerated:** August 21, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 20005 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 10344 OLD OCEAN CITY BLVD STE 2, Berlin, MD 21811-1162
- **Phone:** (410) 641-3340 · **Fax:** (410) 641-3341
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Three Lower Counties Community Services, Inc. (NPI 1154354744, Princess Anne, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2024
- **Other identifiers:** Medicaid 119591300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1396144713) · Data from the CMS NPPES public registry.