Holly Ann Maddy, LCSW LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY1638 Issued in KY

Practice address

328 Thomas More Pkwy Ste 102
Crestview Hills, KY 41017-3488

Phone

(859) 431-6333

Fax

(859) 341-0310

NPI assigned

Nov 13, 2006

Last updated

Oct 13, 2023By the provider in NPPES

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 KY

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holly Maddy, LLC

  • Clinical Social Worker
  • Crestview Hills, KY
  • NPI 1154586394
  Medicare reassignment NPD Authorized official
• Bruce Snider MD PSC

  • Psychiatry Physician
  • Erlanger, KY
  • NPI 1215009691
  NPD (past)
• Family Service of Northern Kentucky, Inc

  • Public Health or Welfare Agency
  • Covington, KY
  • NPI 1780810846
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1912078650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY STE 102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "859-431-6333",
            "fax_number": "859-341-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY STE 102",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "859-431-6333",
            "fax_number": "859-341-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDY",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY1638",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0009249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Irvin Lutes, D.M.D.
• Luxottica of America Inc. (Lenscrafters #6068)
• Luxottica Retail North America Inc (Pearle Vision #C6581)
• M&M Vascular Technologies, LLC
• Carace Mackay, M.D.
• Alexis M Mai, D.M.D.
• Ann Makar, MD
• Amanda Mallory Spillman, PA-C
• Jennifer Malmstrom, ARNP
• Sithandiwe Mamutse, APRN, MSN, PMHNP-BC

• Clinical Social Worker in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.