Mrs. Lynne C Holley, LCSW, LCADC
Social Worker, Clinical in Irvington, New Jersey
1134677248- Practice location
- 50 Union Ave Ste 804B, Irvington, NJ 07111-5221
- Phone
- 770-568-0619
- Fax
- 973-629-1741
- Last updated
- July 21, 2022
Lynne Chantel Holley is a Social Worker, Clinical based in Irvington, NJ. Lynne Chantel Holley practices in Irvington, NJ and has the professional credentials of LCSW, LCADC. The NPI Number for Lynne Chantel Holley is 1134677248 and holds a License No. 37LC00259900 (NJ). The current practice location address for Lynne Chantel Holley is 50 Union Ave Ste 804B, Irvington, NJ 07111-5221 and can be reached out via phone at 770-568-0619 and via fax at 973-629-1741.
Provider Profile Details
- NPI Number
- 1134677248
- Provider Name
- Lynne Chantel Holley
- Credential
- LCSW, LCADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Union Ave Ste 804B, Irvington, NJ 07111-5221
- Phone Number
- 770-568-0619
- Fax Number
- 973-629-1741
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Ms. Lynne Chantel Mallory (Former Name)
- Provider Enumeration Date
- September 17, 2016
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Union Ave Ste 804B
Irvington, NJ 07111-5221 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-5221
- Phone Number
- 770-568-0619
- Fax Number
- 973-629-1741
Provider Business Mailing Address Details
- Address
- Po Box 358
South Orange, NJ 07079-0358 - City
- South Orange
- State
- NJ
- Zip
- 07079-0358
- Phone Number
- 770-568-0619
- Fax Number
- 973-629-1741
License Information
- License Number (1)
- 37LC00259900
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 44SC05717900
- License State (2)
- NJ
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Lynne C Holley, LCSW, LCADC?
The NPI number of Mrs. Lynne C Holley, LCSW, LCADC is 1134677248. It was assigned on September 17, 2016 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lynne C Holley, LCSW, LCADC?
Mrs. Lynne C Holley, LCSW, LCADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 37LC00259900.
Where does Mrs. Lynne C Holley, LCSW, LCADC practice?
The practice location is 50 Union Ave Ste 804B, Irvington, NJ 07111-5221. The office can be reached at 770-568-0619 (phone) or 973-629-1741 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134677248 directly on the NPPES registry website.