Individual provider · Type 1 NPI

Chuckson Holloway, PhD, MSW

Clinical Social Worker · Milwaukee, WI

NPI number 1669029682 Active

Practice location

6833 W Fond Du Lac Ave
Milwaukee, WI 53218-3900

Call (414) 231-9176 Map

Fax (414) 231-9176

Mailing address

8934 N Lake Dr
Bayside, WI 53217-1940

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X9849-123 (WI)

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…

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About NPI 1669029682

Chuckson Holloway, PhD, MSW's National Provider Identifier is 1669029682, issued on Aug 23, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 26, 2026.