Katherine Ann Holley, LMSW, CAADC is a
Social Worker - Clinical based in Flint, Michigan. Katherine Ann Holley is licensed to practice in Michigan (license number 6801094477) and her current practice location is
420 W 5th Ave, Flint, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 257-3709.
NPI number for Katherine Ann Holley is 1649593401 and her current mailing address is 402 N Lapeer St Apt 3, Davison, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649593401.
Healthcare Provider's Profile
| Full Name | Katherine Ann Holley |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 420 W 5th Ave, Flint, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649593401
- Provider Enumeration Date: 03/09/2010
- Last Update Date: 06/14/2018
Medical Identifiers
Medical identifiers for Katherine Ann Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649593401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-03057 (Michigan) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801094477 (Michigan) | 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. Katherine Ann Holley 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 |
|---|
Katherine Ann Holley, LMSW, CAADC
402 N Lapeer St Apt 3,
Davison, MI 48423-1429
Ph: (810) 347-2330 | Katherine Ann Holley, LMSW, CAADC
420 W 5th Ave,
Flint, MI 48503
Ph: (810) 257-3709 |
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