HOLLY WADE LCSW LLC (NPI# 1770059768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770059768 |
| Entity Type | Organization |
| Organization Name | HOLLY WADE LCSW LLC |
| Practice Address |
2201 Dayton Blvd Chattanooga TN 37415-6415 |
| Mailing Address |
151 Integra Vistas Dr Apt 306 Hixson TN 37343-5378 |
| Practice Telephone | 2039180336 |
| Mailing Telephone | 2039180336 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | HOLLY E WADE (MANAGING PARTNER) |
| Authorized Official Telephone | 2039180336 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2201 DAYTON BLVD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37415-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1811358781 | Bisscom Consulting and Services | Social Worker | 2021 Ashmore Ave, Chattanooga, TN 37415 | 2016-03-18 |
| 1700241783 | Megan D. Vonwerssowetz | Nurse Practitioner | 3905 Hixson Pike, Suite 103, Chattanooga, TN 37415 | 2015-12-17 |
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1033403969 | Stephen Denney Muller | Counselor | 2120 Northgate Pk Ln Ste 201, New Beginnings Counseling Center, Chattanooga, TN 37415 | 2011-06-08 |
| 1619115938 | Connie Elizabeth Fesmire | Registered Nurse | 3119 Reflecting Drive, Chattanooga, TN 37415 | 2009-01-23 |
| 1205972395 | Ella Grace Ford | Social Worker | 2120 Northgate Park Ln Ste 201, Chattanooga, TN 37415 | 2007-01-29 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| Find all providers in zip 37415 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1699247700 | Einre Anne Imperio Lopez Friedrich | Social Worker | 957 Boynton Dr, Chattanooga, TN 37402-2118 | 2018-12-31 |
| 1437620697 | Erricka O Hill | Social Worker | 358 Glenwood Dr, Chattanooga, TN 37404-1725 | 2018-12-16 |
| 1982110490 | Margaret Chase Durham | Social Worker | 8105 Gatehouse Xing, Chattanooga, TN 37421-3273 | 2017-12-19 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1467994970 | Latoya Mcleod | Social Worker | 4704 Kenwood Ave, Chattanooga, TN 37411-3805 | 2016-11-15 |
| 1902274129 | Frank Adam Kilgore | Social Worker | 3000 3rd Ave Ste 300, Chattanooga, TN 37407-1422 | 2015-09-03 |
| 1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37415 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.