Holley Marie Brandchaft-White, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018881 Issued in IL

Practice address

225 E Chicago Ave FL 8
Chicago, IL 60611-2991

Phone

(301) 257-6352

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: holley.brandchaft-white.1@33308.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SHFT Behavioral Health PLLC

  • Clinic/Center
  • Chicago, IL
  • NPI 1346130911

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1104349653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 N TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE FL 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "301-257-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDCHAFT-WHITE",
        "first_name": "HOLLEY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Chico Brancky, LCSW
• Kyle Brand Padilla, LCSW
• Alexa Taylor Brand
• Nechama Yaffa Brand, DMD
• Pamela Anne Brand, M.A., PSY.D., LMFT
• Elizabeth Brandel, PT
• Taylor Jordan Brandenberger
• Kathryn Brandenborg-Conti, PSY.D., MA
• Julie Brandenburg, PHD, HSPP
• Molly N Brandenburg, DPT

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.