Dara Holley is a Clinical in St Petersburg, Florida. Dara Holley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dara Holley is 1770502502. The last update date is 2014-04-22.
Dara Holley's current location address is 4024 Central Ave, St Petersburg, Florida. You can contact this provider via phone number 7273277656 and fax number 7273881192. The mailing address for Dara Holley is 4024 Central Ave, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dara Holley |
|---|---|
| Address | 4024 Central Ave, St Petersburg, Florida |
| Phone Number | 7273277656 |
| Fax Number | 7273881192 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770502502 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2014-04-22 |
Provider Mailing Address Detail
| Address | 4024 Central Ave |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337111239 |
| Phone Number | 7273277656 |
| Fax Number | 7273881192 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW6192 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| EY507Z | FL | MEDICARE | |
| 761752600 | FL | -- | |
| F00545 | FL | FLORIDA HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique identifier code issued to Dara Holley by the Centers for Medicare & Medicaid Services?
The Dara Holley has been assigned the NPI (National Provider Identifier) 1770502502. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dara Holley's physical address?
The Dara Holley is physically located at 4024 Central Ave, in the city of St Petersburg, FL, with the postal code 337111239.
What is Dara Holley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dara Holley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Dara Holley receive its 1770502502 assignment from the Centers for Medicare & Medicaid Services?
The Dara Holley was assigned its 1770502502 by the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date were the details pertaining to Dara Holley last refreshed?
The information related to the Dara Holley, including its address, specialty, and other relevant details, was last updated on 2014-04-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC