Holly Wade LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLLY WADE LCSW LLC

Practice address

2201 Dayton Blvd
Chattanooga, TN 37415-6415

Phone

(203) 918-0336

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Holly E Wade, LCSWNPI 1760880504

Title

Managing Partner

Phone

(203) 918-0336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Elizabeth Wade, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
  • NPI 1760880504
  NPD Authorized official

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1770059768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 INTEGRA VISTAS DR APT 306",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435378",
            "telephone_number": "203-918-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156415",
            "telephone_number": "203-918-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY WADE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "203-918-0336",
        "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": []
}

• Shalmai Drake Hollingshead, CPM
• Mellita Hollis
• Amy Holloway
• Jim D. Holloway, DDS
• Susan Pearce Holloway, RPH
• Alyse Holmes, CRNA
• Autumn J. Holmes, MSN, NP-C
• Cicley Holmes
• Lawrence A. Holmes, PT, CHT
• Sandee I Holmes, ARNP

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.