Active NPIIndividual provider

Ms. Holly E Wade, LCSW

Social Worker, Clinical in Chattanooga, Tennessee

NPI Number1760880504
Practice location
801 N Holtzclaw Ave Ste 101, Chattanooga, TN 37404-1236
Fax
615-743-1679
Last updated
March 17, 2018

Holly Elizabeth Wade is a Social Worker, Clinical based in Chattanooga, TN. Holly Elizabeth Wade practices in Chattanooga, TN and has the professional credentials of LCSW. The NPI Number for Holly Elizabeth Wade is 1760880504 and holds a License No. 008834 (CT). The current practice location address for Holly Elizabeth Wade is 801 N Holtzclaw Ave Ste 101, Chattanooga, TN 37404-1236 and can be reached out via phone at 423-697-5953 and via fax at 615-743-1679.

Provider Profile Details

NPI Number
1760880504
Provider Name
Holly Elizabeth Wade
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
801 N Holtzclaw Ave Ste 101, Chattanooga, TN 37404-1236
Phone Number
423-697-5953
Fax Number
615-743-1679
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Holly Wade Kelly, LCSW (Former Name)
Provider Enumeration Date
December 10, 2014
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
801 N Holtzclaw Ave Ste 101
Chattanooga, TN 37404-1236
Zip
37404-1236
Phone Number
423-697-5953
Fax Number
615-743-1679
Chattanooga, TN 37404Get directions →

Provider Business Mailing Address Details

Address
275 Cumberland Bnd
Nashville, TN 37228-1805
City
Nashville
State
TN
Zip
37228-1805
Phone Number
615-726-3340
Fax Number
615-743-1679

License Information

License Number (1)
008834
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
6138
License State (2)
TN
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Holly E Wade, LCSW?

The NPI number of Ms. Holly E Wade, LCSW is 1760880504. It was assigned on December 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Holly E Wade, LCSW?

Ms. Holly E Wade, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 008834.

Where does Ms. Holly E Wade, LCSW practice?

The practice location is 801 N Holtzclaw Ave Ste 101, Chattanooga, TN 37404-1236. The office can be reached at 423-697-5953 (phone) or 615-743-1679 (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 1760880504 directly on the NPPES registry website.

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