Individual provider Active NPI

Holly Darwin, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1063705770
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-103021 Issued in AZ
Practice address
7400 N Oracle Rd
Ste 162H
Tucson, AZ 85704-6583
Phone
(520) 979-5606
NPI assigned
May 27, 2011
Last updated
Jun 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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 LCSW-103021 AZ Primary

Addresses

Primary practice location

7400 N Oracle Rd
Ste 162H
Tucson, AZ 85704-6583

Mailing address

16595 N Stallion PL
Tucson, AZ 85739-9656
Phone (520) 327-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110902000084 AZ Practitioner - Clinical Social Worker 5991717712 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W Magee Rd
Suite 100
Tucson, AZ 85704-6401
Phone (520) 979-5606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-103021AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J&P Loiselle LLC Clinical Past Accepting new patients
Evan W Kligman M D P C PastSince Aug 10, 1998 Accepting new patients
Banyan Integrative Health LLC PastSince Mar 4, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3372/brand/1/csg/1/fhir/r4

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1063705770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16595 N STALLION PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399656",
            "telephone_number": "520-327-4505",
            "fax_number": "520-202-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N ORACLE RD",
            "address_2": "STE 162H",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046583",
            "telephone_number": "520-979-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWIN",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-103021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.