Ethlyn Holly, in Greensboro, MD - Social Worker

Ethlyn Holly, is a Social Worker - Clinical based in Greensboro, Maryland. Ethlyn Holly is licensed to practice in * (Not Available) (license number ) and her current practice location is 101 S Academy St, Greensboro, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 404-4625.

NPI number for Ethlyn Holly is 1043694888 and her current mailing address is Po Box 29, Greensboro, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043694888.

Contact Information

	Ethlyn Holly,
	101 S Academy St, Greensboro, MD 21639-1643
	(410) 404-4625
	Not Available

Healthcare Provider's Profile

Full Name	Ethlyn Holly
Gender	Female
Speciality	Social Worker - Clinical
Location	101 S Academy St, Greensboro, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1043694888
Provider Enumeration Date: 07/10/2015
Last Update Date: 11/29/2023

Medical Identifiers

Medical identifiers for Ethlyn Holly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043694888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary
104100000X	Social Worker	17713 (Maryland)	Secondary

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. Ethlyn Holly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethlyn Holly, Po Box 29, Greensboro, MD 21639-0029 Ph: (410) 404-4625	Ethlyn Holly, 101 S Academy St, Greensboro, MD 21639-1643 Ph: (410) 404-4625

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Ethlyn Holly, - Clinical Social Worker in Greensboro, MD