Individual provider Active NPI

Erica Crawford Holahan, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1003321951
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10034 Issued in CT
Practice address
182 Willard St
New Haven, CT 06515-2030
Phone
(203) 687-5971
NPI assigned
Dec 13, 2017
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10034 CT Primary

Addresses

Primary practice location

182 Willard St
New Haven, CT 06515-2030

Mailing address

182 Willard St
New Haven, CT 06515-2030
Phone (203) 687-5971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625001265 CT Practitioner - Clinical Social Worker 1153655113 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erica Holahan, LLC Clinical CurrentSince Jul 31, 2022 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Oct 24, 2022 Accepting new patients

Locations

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1003321951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 WILLARD ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152030",
            "telephone_number": "203-687-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 WILLARD ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152030",
            "telephone_number": "203-687-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAHAN",
        "first_name": "ERICA",
        "middle_name": "CRAWFORD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.