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

Individual provider Clinical Social Worker · NPI 1720598295

Kelli Nicole Holloway, LCSW is a Clinical Social Worker in Memphis, Tennessee. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
2
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

4844 Bloomfield Dr
Memphis, TN 38125-3356
Phone: (901) 215-8602
Fax: (877) 353-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8295 Tournament Dr Ste 150, Memphis, TN 38125-8900 — (901) 468-3431

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8486 (TN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8486 (TN)

Record details

NPI number1720598295
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 10, 2017
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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