Individual provider Active NPI

Elise Holsey, ASW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1063873586
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW65793 Issued in CA
Practice address
525 N Parker St
Orange, CA 92868-1323
Phone
(714) 639-5546
Fax
(714) 639-5037
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 ASW65793 CA Primary

Addresses

Primary practice location

525 N Parker St
Orange, CA 92868-1323

Mailing address

525 N Parker St
Orange, CA 92868-1323
Phone (714) 639-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW65793CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1063873586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N PARKER ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681323",
            "telephone_number": "714-639-5546",
            "fax_number": "714-639-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N PARKER ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681323",
            "telephone_number": "714-639-5546",
            "fax_number": "714-639-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSEY",
        "first_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW65793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.