Holly Allison Chambers, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091170 Issued in MI

Practice address

1040 W Bristol Rd
Flint, MI 48507-5516

Phone

(810) 496-5471

NPI assigned

May 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Genesee Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
  • NPI 1043554348

  MI

  Medicare reassignment Care Compare group NPD
• Osh-Mi Physicians Group PC

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1700236478

  MI

  Medicare reassignment NPD
• Genesee Health System

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1962140137

  Clinical

  Care Compare group NPD
• Genesee Health System

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1851630115
  Care Compare group
• Genesee Health System

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1982018610
  Care Compare group
• Osh Mi Physicians Group, PC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1720635790
  NPD
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092

  Clinical

  NPD (past)

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1780977801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 ROSLYN AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323925",
            "telephone_number": "810-424-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075516",
            "telephone_number": "810-496-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "HOLLY",
        "middle_name": "ALLISON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801091170",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nihara Chakrala, MD
• Sadhana Chalasani
• Andrew Chamberlin, LPC
• Andrea Michaele Chambers, LMSW ACSW
• Andrew John Chambers
• James L. Chambers, D.O.
• Taleesa Chambers
• Michelle Lynn Champagne
• Andrew Champine, PSYD
• Champs

• All providers in Flint, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.