Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Holley, LSCW

Individual provider Clinical Social Worker · NPI 1366065344

Carmen Holley, LSCW is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

4021 S Indiana Ave
Chicago, IL 60653-2111
Phone: (773) 556-3522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.019192 (IL)

Record details

NPI number1366065344
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCW
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESMay 25, 2020
Certification dateMay 25, 2020

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