Jaclyn Holloway, LCSW is a
Social Worker - Clinical based in Ennis, Texas. Jaclyn Holloway is licensed to practice in Texas (license number 103428) and her current practice location is
601 S Clay St Ste 104, Ennis, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 875-6600.
NPI number for Jaclyn Holloway is 1609604214 and her current mailing address is 1751 Towne Crossing Blvd Apt 2606, Mansfield, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609604214.
Healthcare Provider's Profile
Full Name | Jaclyn Holloway |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 601 S Clay St Ste 104, Ennis, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609604214
- Provider Enumeration Date: 07/24/2024
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Jaclyn Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609604214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 103428 (Texas) | Primary |
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. Jaclyn Holloway 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 |
Jaclyn Holloway, LCSW 1751 Towne Crossing Blvd Apt 2606, Mansfield, TX 76063-3995 Ph: (254) 421-0669 | Jaclyn Holloway, LCSW 601 S Clay St Ste 104, Ennis, TX 75119-5771 Ph: (972) 875-6600 |
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