MS. HOLLY ELIZABETH WADE LCSW
NPI 1760880504
Social Worker - Clinical in Chattanooga, TN

NPI Status: Active since December 10, 2014

Contact Information

801 N HOLTZCLAW AVE STE 101
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 697-5953
Fax: (615) 743-1679

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • PECOS Enrolled
  • Opted-Out Medicare

About HOLLY WADE

This page provides the complete NPI Profile along with additional information for Holly Wade, a provider established in Chattanooga, Tennessee with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1760880504 assigned on December 2014. The practitioner's primary taxonomy code is 1041C0700X with license number 6138 (TN). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1760880504
Provider Name
MS. HOLLY ELIZABETH WADE LCSW
Other Name
HOLLY WADE KELLY LCSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
801 N HOLTZCLAW AVE STE 101 CHATTANOOGA, TN 37404
Location Phone
(423) 697-5953
Location Fax
(615) 743-1679
Mailing Address
275 CUMBERLAND BND NASHVILLE, TN 37228
Mailing Phone
(615) 726-3340
Mailing Fax
(615) 743-1679
Is Sole Proprietor?
No
Enumeration Date
12-10-2014
Last Update Date
03-17-2018
Code Navigator

A clinical social worker like Holly Wade is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Holly Wade opted out of Medicare effective on 07-01-2019 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 29 Stony Brook Rd
    Darien, CT 06820
    (203) 918-0336

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
6138
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

008834 (CT)

Medicare Participation & PECOS Enrollment Status

Holly Wade is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-01-2019

  • Opt-Out End Date: 07-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37404 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.01
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760880504, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 6 + 8 + 0 + 5 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760880504.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
801 N HOLTZCLAW AVE STE 101
CHATTANOOGA, TN 37404
Marriage & Family Therapist
801 N HOLTZCLAW AVE STE 101
CHATTANOOGA, TN 37404
Social Worker (Clinical)
801 N HOLTZCLAW AVE STE 101
CHATTANOOGA, TN 37404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760880504, enumerated as an "individual" on December 10, 2014.

The provider is located at 801 N HOLTZCLAW AVE STE 101 CHATTANOOGA, TN 37404 and the phone number is (423) 697-5953.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.