Holly Undlin Weismantel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5663 Issued in ND

Practice address

4085 E Claxton Ave
Gilbert, AZ 85297

Phone

(602) 881-8555

Fax

(888) 375-5244

NPI assigned

Jul 28, 2020

Last updated

May 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Summit Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williston, ND
  • NPI 1427593698

  Clinical

  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1073122867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951103",
            "telephone_number": "602-881-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 E CLAXTON AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "602-881-8555",
            "fax_number": "888-375-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDLIN WEISMANTEL",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Umbs, RBT
• Umed, PLLC
• Clarissa Unale
• Unchained-Gilbert LLC (Unchained Wellness Clinic)
• Leanne M Underwood, P.T.
• Lindsey Brooke Depue Unger
• Wyatt Unger, MD
• Union Pain Group LLC
• United Infusions LLC
• University Obstetrics and Gynecology PLLC

• Clinical Social Worker in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.