Active NPI
Karen Lynn Holley, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1740432970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006603
- Practice address
- 4301 E Parham Rd
Richmond, VA 23273-0001 - Phone
- (804) 501-4580
- Fax
- (804) 504-5084
- NPI assigned
- Oct 21, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7131 | FL | |
| Clinical Social Worker | 1041C0700X | 0904006603 | VA | Primary |
| Clinical Social Worker | 1041C0700X | SW8544 | FL |
Addresses
Primary practice location
4301 E Parham Rd
Richmond, VA 23273-0001
Mailing address
10299 Woodman Rd
Glen Allen, VA 23060-4419
Phone (804) 727-8517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7131 | FL | MD | Mental Health Counselor |
| SW8544 | FL | MD | Clinical Social Worker |
| 0904006603 | VA | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Henrico Area Mental Health & Developmental Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Allen, VA
- NPI 1023119773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1740432970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10299 WOODMAN RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230604419",
"telephone_number": "804-727-8517",
"fax_number": "804-727-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 E PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232730001",
"telephone_number": "804-501-4580",
"fax_number": "804-504-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "KAREN",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7131",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006603",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.