Individual provider · Type 1 NPI

Ethlyn Holly

Clinical Social Worker · Greensboro, MD

NPI number 1043694888 Active

Practice location

101 S Academy St
Greensboro, MD 21639-1643

Mailing address

PO Box 29
Greensboro, MD 21639-0029

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Social Worker 104100000X17713 (MD)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

About NPI 1043694888

Ethlyn Holly's National Provider Identifier is 1043694888, issued on Jul 10, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greensboro, MD. The record was last updated on Nov 29, 2023.