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

Kelly Dorthea Hollie

Individual provider Social Worker · NPI 1386253532

Kelly Dorthea Hollie is a Clinical Social Worker in Salt Lake City, Utah. Qualified in 2020, 6 years ago. Practices with Confederated Tribes of the Goshute Reservation, a 60-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
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Practice location Address checks out

660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Phone: (801) 359-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 7449886-3506 (UT)

Record details

NPI number1386253532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Confederated Tribes Of The Goshute Reservation — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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