Lydia Ivette Holloway, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15551 Issued in MD

Practice address

22 Linwood Ave Ste B
Bel Air, MD 21014-3971

Phone

(443) 629-8858

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By 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)

Enrolled

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1063741262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LINWOOD AVE STE B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143971",
            "telephone_number": "443-629-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LINWOOD AVE STE B",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143971",
            "telephone_number": "443-629-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "LYDIA",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mae Taylor Hoge, DDS
• Karen Denise Hojnacki, MS., CCC-SLP
• James David Holcomb, PT, DPT
• Carrie Ann Holleran, LMSW
• Brianna Nicole Holloway
• Michelle Margaret Holloway
• Sandra Lynn Holly, MS, SLP
• Homecoming Project Inc.
• Kaylin Honchar, LCPC
• Karen Hope Honecker, LGPC

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.