Active NPI
Holly Russell Waldrop, LCSW
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1790655009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5997
- Practice address
- 1009 N Thompson LN
Murfreesboro, TN 37129-4351 - Phone
- (615) 336-7664
- NPI assigned
- Nov 11, 2025
- Last updated
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5997 | TN | Primary |
Addresses
Primary practice location
1009 N Thompson LN
Murfreesboro, TN 37129-4351
Mailing address
1422 Atlas St
Murfreesboro, TN 37130-6017
Phone (615) 336-7664
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5997 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1790655009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 ATLAS ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371306017",
"telephone_number": "615-336-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N THOMPSON LN",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371294351",
"telephone_number": "615-336-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "HOLLY",
"middle_name": "RUSSELL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "5997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.