Mrs Lynne Chantel Holley, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Irvington, New Jersey. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint James Health, Inc and her current practice location is
50 Union Ave Ste 804b, Irvington, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(770) 568-0619.
Mrs Lynne Chantel Holley is licensed to practice in New Jersey (license number 44SC05717900) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134677248.
Healthcare Provider's Profile
| Full Name | Mrs Lynne Chantel Holley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 50 Union Ave Ste 804b, Irvington, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lynne Chantel Holley graduated from medical school in 2014
NPI Data:
- NPI Number: 1134677248
- Provider Enumeration Date: 09/17/2016
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921370180
- Enrollment ID: I20250918003413
Medical Identifiers
Medical identifiers for Mrs Lynne Chantel Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134677248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00259900 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05717900 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saint James Health, Inc | 7214237916 | 13 |
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. Mrs Lynne Chantel Holley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lynne Chantel Holley, LCSW, LCADC
Po Box 358,
South Orange, NJ 07079-0358
Ph: (770) 568-0619 | Mrs Lynne Chantel Holley, LCSW, LCADC
50 Union Ave Ste 804b,
Irvington, NJ 07111-5221
Ph: (770) 568-0619 |
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