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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KELLI NICOLE HOLLOWAY LCSW
NPI 1720598295
Social Worker - Clinical in Memphis, TN

Active since October 10, 2017PECOS Enrolled
4844 BLOOMFIELD DR, MEMPHIS, TN 38125(901) 215-8602(877) 353-0135 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Apr 30, 2026, Mar 28, 2025 and 1 more (4 updates tracked since 2017).

About Kelli Nicole Holloway Lcsw NPPES

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

KELLI NICOLE HOLLOWAY LCSW (NPI 1720598295) is an individual clinical provider in Memphis, Tennessee, licensed in Tennessee (8486) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720598295
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLI NICOLE HOLLOWAYCredential: LCSW
Location Address4844 BLOOMFIELD DRMemphis, TN 38125-3356
Mailing Address4844 Bloomfield DrMemphis, TN 38125-3356 · (901) 215-8602 · Fax (877) 353-0135
Phone(901) 215-8602
Fax(877) 353-0135
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 10, 2017
Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1720598295 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 TN · 8486
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 · Mental HealthTaxonomy 101YM0800X · License 8486 (TN)
4844 BLOOMFIELD DR, Memphis, TN 38125
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Secondary Practice Location 1

Location 18295 Tournament Dr Ste 150Memphis, TN 38125-8900 · Phone (901) 468-3431 · Fax (877) 353-0135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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

Kelli Nicole Holloway Lcsw 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 ID4688172216
PECOS Enrollment IDI20250812003138
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 38125 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 $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

MY LEGACY COUNSELING CENTER, LLC
Clinic/Center (Adult Mental Health)
4844 BLOOMFIELD DR
MEMPHIS, TN 38125
Shelby County (901) 215-8602

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 Kelli Holloway's NPI number?

The NPI number for Kelli Holloway is 1720598295. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Kelli Holloway located?

Kelli Holloway practices at 4844 Bloomfield Dr, Memphis, TN 38125. The listed phone number is (901) 215-8602.

What is Kelli Holloway's specialty?

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

Is Kelli Holloway enrolled in Medicare?

Yes. Kelli Holloway 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.

What insurance does Kelli Holloway accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kelli Holloway 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 Kelli Holloway was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.