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HOLLEY ANDERSON MSW,BA
NPI 1982090924
Social Worker in Waterbury, CT

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
75.96/100
CMS Quality Rating
141 E MAIN ST, 3RD FLOOR HOME BASED SERVICES, WATERBURY, CT 06702(203) 575-0466(203) 575-1817 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holley Anderson Msw,ba NPPES

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

HOLLEY ANDERSON MSW,BA (NPI 1982090924) is an individual social worker in Waterbury, Connecticut, licensed in Connecticut (1933) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982090924
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameHOLLEY ANDERSONCredential: MSW,BA
Location Address141 E MAIN ST, 3RD FLOOR HOME BASED SERVICESWaterbury, CT 06702-2310
Mailing Address141 E Main St, 4th Floor AdministrationWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006
Phone(203) 575-0466
Fax(203) 575-1817
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 7, 2015
Last NPPES UpdateMarch 3, 2016
✔ NPI 1982090924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CT · 1933
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
141 E MAIN ST, Waterbury, CT 06702
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Other Identifiers 3

OtherPENDINGCT · Hp Medicaid
Other13606722CT · Caqh
Medicare PINNOT ELIGIBLECT

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

Holley Anderson Msw,ba 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 ID4385912997
PECOS Enrollment IDI20170622000557
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99
Promoting Interoperability75
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYCO FOY MS
Counselor (Mental Health)
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
DANIELLE DAVENPORT BA
Community Health Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
JACQUELINE HOFLER
Community Health Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
FATOU K TOURE
Social Worker
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
MARDEA ZOR MSW
Counselor
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
KEMAR BAILEY BA
Counselor (Mental Health)
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 575-0466
ERIN HERB
Student in an Organized Health Care Education/Training Program
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
SUSAN BROADUS
Counselor
141 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000

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 Holley Anderson's NPI number?

The NPI number for Holley Anderson is 1982090924. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Holley Anderson located?

Holley Anderson practices at 141 E Main St 3rd Floor Home Based Services, Waterbury, CT 06702. The listed phone number is (203) 575-0466.

What is Holley Anderson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Holley Anderson enrolled in Medicare?

Yes. Holley Anderson 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.

When was this NPI record last updated?

The NPPES record for Holley Anderson was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.