Individual provider Active NPI

Christopher Alan Holloway, LCSW, MSW

  • Clinical Social Worker
  • Falmouth, ME
National Provider Identifier
1033819776
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC23926 Issued in ME
Practice address
50 Depot Rd FL 2
Falmouth, ME 04105-1211
Phone
(207) 835-3616
NPI assigned
Mar 9, 2023
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MC21308 ME
Clinical Social Worker 1041C0700X LC23926 ME Primary

Addresses

Primary practice location

50 Depot Rd FL 2
Falmouth, ME 04105-1211

Mailing address

50 Depot Rd Ste 200
Falmouth, ME 04105-1211
Phone (207) 618-5903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240910001693 ME Practitioner - Clinical Social Worker 1557801123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Hidden Glade Counseling LLCGroup PAC ID 8921500802, 2 clinicians

Practice addresses (Care Compare)

14 Pleasant St
Brunswick, ME 04011-2201
Phone (978) 424-6607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC23926MEMDClinical Social Worker
MC21308MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Mental Health LLC CurrentSince Aug 8, 2024 Accepting new patients
Hidden Glade Counseling, LLC Clinical CurrentSince Aug 25, 2025 Accepting new patients

Locations

14 Pleasant St
Brunswick, ME 04011
Phone (207) 200-3640

50 Depot Rd
Fl 2
Falmouth, ME 04105
Phone (207) 835-3616

50 Depot Rd
Ste 2
Falmouth, ME 04105
Phone (207) 391-3167

50 Depot Rd
Ste 200
Falmouth, ME 04105
Phone (207) 835-3616

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, 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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1033819776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DEPOT RD STE 200",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051211",
            "telephone_number": "207-618-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DEPOT RD FL 2",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051211",
            "telephone_number": "207-835-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-09",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC21308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC23926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.