Vicki Moore Holzhauer, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801018 Issued in OH

Practice address

2076 S Belvoir Blvd
South Euclid, OH 44121-3710

Phone

(216) 772-7161

NPI assigned

Jun 12, 2023

Last updated

Jun 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1033893052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 S BELVOIR BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213710",
            "telephone_number": "216-772-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 S BELVOIR BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213710",
            "telephone_number": "216-772-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE HOLZHAUER",
        "first_name": "VICKI",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keili Ann Mistovich, MD
• Falisha Mitchell
• Steven Mitchell, R.PH.
• Mitchell's Quality Home Care
• Angelique Molina, LPN
• Brian Moore, MD
• Sherrod Defloy Morehead, PHD
• Mary Morgan
• Hadley Scott Morgenstern-Clarren, M.D.
• Antoinette Morris

• Clinical Social Worker in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.