Burgandy Desire Holiday, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW130834 Issued in PA

Practice address

850 W Lancaster Ave
2ND Floor
Bryn Mawr, PA 19010-3220

Phone

(610) 520-1510

Fax

(610) 520-1517

NPI assigned

Apr 25, 2014

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1073933230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 N 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513909",
            "telephone_number": "215-284-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W LANCASTER AVE",
            "address_2": "2ND FLOOR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103220",
            "telephone_number": "610-520-1510",
            "fax_number": "610-520-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIDAY",
        "first_name": "BURGANDY",
        "middle_name": "DESIRE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Joseph Hoffman, M.D.
• Kelsi Hoffman
• Alexa Hoffmann, PA-C
• Christine E Hofmann, MSW, LCSW
• Lindsay Hogan, PA-C
• Alexandra Marie Holland
• Elaine Mae Hain Hollero, MD.
• Sally B Holtz, PH.D.
• Jenna Suzanne Hopkins, PA-C
• Bruce D. Hopper, MD

• Social Worker in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.