Dr Chuckson Holloway, PHD, MSW is a
Social Worker - Clinical based in Milwaukee, Wisconsin. Dr Chuckson Holloway is licensed to practice in Wisconsin (license number 9849-123) and his current practice location is
6833 W Fond Du Lac Ave, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 231-9176.
NPI number for Dr Chuckson Holloway is 1669029682 and his current mailing address is 8934 N Lake Dr, Bayside, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669029682.
Healthcare Provider's Profile
| Full Name | Dr Chuckson Holloway |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6833 W Fond Du Lac Ave, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669029682
- Provider Enumeration Date: 08/23/2019
- Last Update Date: 06/26/2026
Medical Identifiers
Medical identifiers for Dr Chuckson Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669029682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9849-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chuckson Holloway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Chuckson Holloway, PHD, MSW
8934 N Lake Dr,
Bayside, WI 53217-1940
Ph: (262) 888-2476 | Dr Chuckson Holloway, PHD, MSW
6833 W Fond Du Lac Ave,
Milwaukee, WI 53218-3900
Ph: (414) 231-9176 |
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