Wanda K Holloway, MED, LCSW, LPC is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Missouri. Her current practice location is
1350 E Bradford Pkwy, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 761-5850.
Wanda K Holloway is licensed to practice in Missouri (license number 000745) 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 1598763088.
Healthcare Provider's Profile
| Full Name | Wanda K Holloway |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1350 E Bradford Pkwy, Springfield, Missouri |
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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. |
Medical Education and Training:
- Wanda K Holloway attended and graduated from in
NPI Data:
- NPI Number: 1598763088
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 03/22/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Wanda K Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598763088 | NPI | - | NPPES |
| 493216402 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 000995 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 000745 (Missouri) | 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. Wanda K Holloway 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 |
Wanda K Holloway, MED, LCSW, LPC 1300 E Bradford Pkwy, Burrell Behavioral Health, Springfield, MO 65804-4264 Ph: (417) 761-5000 | Wanda K Holloway, MED, LCSW, LPC 1350 E Bradford Pkwy, Springfield, MO 65804-4376 Ph: (417) 761-5850 |
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