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KELLY KING-HOLLIDAY
NPI 1831704436
Social Worker - Clinical in Chicago, IL

Active since September 10, 2020
1921 S INDIANA AVE, CHICAGO, IL 60616(312) 328-2268 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2021, Sep 10, 2020 (2 updates tracked since 2020).

About Kelly King-holliday NPPES

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

KELLY KING-HOLLIDAY (NPI 1831704436) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.015786) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1831704436
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY KING-HOLLIDAY
Location Address1921 S INDIANA AVEChicago, IL 60616-5819
Mailing Address1921 S Indiana AveChicago, IL 60616-5819 · (312) 328-2268
Phone(312) 328-2268
Sole ProprietorYes
Enumeration DateSeptember 10, 2020
Last NPPES UpdateFebruary 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1831704436 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 · 149.015786
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.
1921 S INDIANA AVE, Chicago, IL 60616
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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 Kelly King-holliday's NPI number?

The NPI number for Kelly King-holliday is 1831704436. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Kelly King-holliday located?

Kelly King-holliday practices at 1921 S Indiana Ave, Chicago, IL 60616. The listed phone number is (312) 328-2268.

What is Kelly King-holliday'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 Kelly King-holliday was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.