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

Mrs. Lynne Chantel Holley, LCSW, LCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134677248

Mrs. Lynne Chantel Holley, LCSW, LCADC is a Nurse Practitioner in Irvington, New Jersey. Qualified in 2014, 12 years ago. Practices with Saint James Health, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2016
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

50 Union Ave Ste 804B
Irvington, NJ 07111-5221
Phone: (770) 568-0619
Fax: (973) 629-1741
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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 44SC05717900 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37LC00259900 (NJ)

Record details

NPI number1134677248
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCADC
Sole proprietorNo
NPI enumeratedSeptember 17, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Saint James Health, Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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