Ethlyn Holly, is a
Social Worker - Clinical based in Greensboro, Maryland. Ethlyn Holly is licensed to practice in * (Not Available) (license number ) and her current practice location is
101 S Academy St, Greensboro, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 404-4625.
NPI number for Ethlyn Holly is 1043694888 and her current mailing address is Po Box 29, Greensboro, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043694888.
Healthcare Provider's Profile
Full Name | Ethlyn Holly |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 101 S Academy St, Greensboro, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043694888
- Provider Enumeration Date: 07/10/2015
- Last Update Date: 11/29/2023
Medical Identifiers
Medical identifiers for Ethlyn Holly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043694888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
104100000X | Social Worker | 17713 (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethlyn Holly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ethlyn Holly, Po Box 29, Greensboro, MD 21639-0029 Ph: (410) 404-4625 | Ethlyn Holly, 101 S Academy St, Greensboro, MD 21639-1643 Ph: (410) 404-4625 |
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