Individual provider Active NPI

Holly Fiedler, LMSW

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1033346457
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088518 Issued in MI
Practice address
2092 S Custer Rd
Monroe, MI 48161-1831
Phone
(734) 457-2161
Fax
(734) 457-4146
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 6801088518 MI Primary

Addresses

Primary practice location

2092 S Custer Rd
Monroe, MI 48161-1831

Mailing address

2092 S Custer Rd
Monroe, MI 48161-1831
Phone (734) 457-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090918000179 MI Practitioner - Clinical Social Worker 3375520562 Practice locations: Monroe, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088518MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United States Catholic Conference Past Accepting new patients
United States Catholic Conference Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1033346457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2092 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611831",
            "telephone_number": "734-457-2161",
            "fax_number": "734-457-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2092 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611831",
            "telephone_number": "734-457-2161",
            "fax_number": "734-457-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.