Individual provider Active NPI

Celia Holmes, LCSW

  • Social Worker
  • Latham, NY
National Provider Identifier
1033626668
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4 Avis Dr Ste 101
Latham, NY 12110-2650
Phone
(518) 560-4277
NPI assigned
Jan 4, 2018
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

4 Avis Dr Ste 101
Latham, NY 12110-2650

Mailing address

4 Avis Dr Ste 101
Latham, NY 12110-2650
Phone (518) 560-4277

Other practice location 1

530 Franklin St
Schenectady, NY 12305
Phone (518) 393-2194 ext. 2304

Other names 1

  • Celia Matthews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180625002649 NY Practitioner - Clinical Social Worker 1254686736 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family Social Worker CurrentSince Aug 22, 2022 Accepting new patients
Freedom First Psychological Services, PLLC CurrentSince Feb 7, 2021 Accepting new patients
Romero Oncology, PLLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

1 McGuffey Ln
Delmar, NY 12054
Phone (518) 439-0729

247 Delaware Ave
Delmar, NY 12054

25 Union Ave
Delmar, NY 12054
Phone (518) 439-7681

27 Van Dyke Rd
Delmar, NY 12054
Phone (518) 694-8825

4 Avis Dr
Ste 101
Latham, NY 12110
Phone (518) 560-4277

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

Organizations & group practices 4

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1033626668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "12305",
            "country_code": "US",
            "telephone_number": "518-393-2194 x2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CELIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELIA",
            "last_name": "MATTHEWS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.