Holly Kelly LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008834 Issued in CT

Legal business name

HOLLY KELLY LCSW LLC

Practice address

161 East Ave
Ste 101
Norwalk, CT 06851-5710

Phone

(203) 918-0336

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Holly Wade Kelly, LCSW

Title

Managing Partner

Phone

(203) 918-0336

Specialties & licenses 1

Addresses

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 (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1992195945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STONY BROOK RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204325",
            "telephone_number": "203-918-0336",
            "fax_number": "203-621-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 EAST AVE",
            "address_2": "STE 101",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515710",
            "telephone_number": "203-918-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY KELLY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "203-918-0336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salima S Hirani, CCC-SLP
• Arnold Hitoaliaj
• Kelcey Hix
• Madison Duval Hobbs, PA
• Michael Tod Hodish, D.M.D.
• Lynn Holmberg, MS, RD, CDN
• Michelle Hope, LO
• Reid Hopkins, M.D.
• Maryellen Horan, FNP
• Julia Sarah Horowitz, LCSW, MHSA

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.