Holly Haman-Marcum, MSSW, LCSW
Individual provider Active NPI Clinical Social Worker · Burlington, CO
NPI 1003112178 · NPPES record last updated Jun 10, 2015
Key facts
- NPI
- 1003112178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW-992106 (CO)
- Practice address
- 1371 1/2 Rose Ave
Burlington, CO 80807-1601 - Phone
- (720) 231-0353
- NPI assigned
- Feb 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW-992106 | CO | Yes |
Addresses
Primary practice location
1371 1/2 Rose Ave
Burlington, CO 80807-1601
Mailing address
PO Box 726
Burlington, CO 80807-0726
Phone (720) 231-0353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21685835 | Medicaid | CO | |
| 62673734 | Medicaid | CO | |
| 12515136 | Other | CO | CAQH |
Other names
- Holly Haman
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.