Individual provider Active NPI

Chaka Holley, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1750890885
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017694 Issued in IL
Practice address
5536 S Everett Ave
Chicago, IL 60637-1902
Phone
(773) 643-6259
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149017694 IL Primary

Addresses

Primary practice location

5536 S Everett Ave
Chicago, IL 60637-1902

Mailing address

1167 E 61St St Unit 1
Chicago, IL 60637-2740
Phone (616) 322-2437

Other practice location 1

20280 Governors Hwy Ste 207
Olympia Fields, IL 60461-1028
Phone (708) 794-6461

Other practice location 2

1100 S Hamilton Ave
Chicago, IL 60612-4207
Phone (616) 322-2437

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

State licenses

LicenseStateTypeSpecialty
149017694ILMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Charity Foundation CurrentSince Aug 28, 2022 Accepting new patients
United States Conference of Catholic Bishops - Claret Center Inc. PastSince Jan 1, 2014 Accepting new patients

Locations

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1750890885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 E 61ST ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372740",
            "telephone_number": "616-322-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 S EVERETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371902",
            "telephone_number": "773-643-6259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20280 Governors Hwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611028",
            "country_code": "US",
            "telephone_number": "708-794-6461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 S Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124207",
            "country_code": "US",
            "telephone_number": "616-322-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "CHAKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2026; 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.