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

Jerrica Holly, LICSW

Individual provider Clinical Social Worker · NPI 1770378937

Jerrica Holly, LICSW is a Clinical Social Worker in Vancouver, Washington. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Phone: (360) 696-5300
Fax: (360) 729-3372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6715 Ne 63rd St Ste 267, Vancouver, WA 98661-1980 — (816) 518-9490

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61086180 (WA)

Record details

NPI number1770378937
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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