Active NPI
Holly Earley
- Clinical Social Worker
- Greenville, IL
National Provider Identifier
1083020168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015703
- Practice address
- 200 Health Care Dr
Greenville, IL 62246-1154 - Phone
- (618) 664-1230
- Fax
- (618) 664-2352
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015703 | IL | Primary |
Addresses
Primary practice location
200 Health Care Dr
Greenville, IL 62246-1154
Mailing address
200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1083020168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HEALTH CARE DR",
"city": "GREENVILLE",
"state": "IL",
"postal_code": "622461154",
"telephone_number": "618-664-1230",
"fax_number": "618-664-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEALTH CARE DR",
"city": "GREENVILLE",
"state": "IL",
"postal_code": "622461154",
"telephone_number": "618-664-1230",
"fax_number": "618-664-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.