Holly Johnson Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016879 Issued in IL

Practice address

50 E Washington St Ste 301
Chicago, IL 60602-2142

Phone

(312) 252-9500

Fax

(312) 337-9243

NPI assigned

Aug 29, 2014

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1245630094",
    "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": "50 E WASHINGTON ST STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022142",
            "telephone_number": "312-252-9500",
            "fax_number": "312-337-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "HOLLY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carr Eye Professionals PC
• Caroline Andersen Carr, LCSW
• Christine Katherine Carr
• Gordon E. Carr, M.D.
• Hannah Carr
• Isabella Vivienne Mozee Carr, LSW
• James Carr, MD
• Jasmine Carr, REGISTERED NURSE
• Jordan Carr, DO
• Lauren Elizabeth Carr, PH.D; ED.M.; M.A.

• 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 Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.