Organization Active NPI

Holly Johnson Carr, LCSW, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1144865908
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLLY JOHNSON CARR, LCSW, PLLC
Practice address
25 E Washington St Ste 910
Chicago, IL 60602-1717
Phone
(312) 702-1077
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Mrs. Holly Johnson Carr, LCSW
Title
Owner
Phone
(312) 623-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

25 E Washington St Ste 910
Chicago, IL 60602-1717

Mailing address

1801 W Cornelia Ave
Chicago, IL 60657-1019
Phone (773) 755-2271

Other names 1

  • Holly Johnson Carr, LCSW Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1144865908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W CORNELIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571019",
            "telephone_number": "773-755-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021717",
            "telephone_number": "312-702-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY JOHNSON CARR, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-623-4148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Johnson Carr, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.