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

Holly Kelly Ambrose, LCSW

Individual provider Clinical Social Worker · NPI 1437783222

Holly Kelly Ambrose, LCSW is a Clinical Social Worker in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11 Brisa Ln
Port Saint Lucie, FL 34952-7920
Phone: (331) 210-4513
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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 149008654 (IL)

Record details

NPI number1437783222
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 2, 2020
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

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