Individual provider Active NPI

Heather Renee Holzhauser, LCSW

  • Clinical Social Worker
  • Olathe, KS
National Provider Identifier
1083859920
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020685 Issued in IL
Practice address
15605 W 154TH St
Olathe, KS 66062-3481
Phone
(913) 909-5318
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020685 IL Primary
Social Worker 104100000X 6296 KS

Addresses

Primary practice location

15605 W 154TH St
Olathe, KS 66062-3481

Mailing address

15605 W 154TH St
Olathe, KS 66062-3481
Phone (913) 909-5318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181231000378 IL Practitioner - Clinical Social Worker 6901141555 Reassigns benefits to 1 organization
Practice locations: Riverside, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Riverside, IL 60546
Phone (708) 628-7345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6296KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Holzhauser, LCSW PLLC Clinical CurrentSince Nov 22, 2023 Accepting new patients

Locations

2501 Desplaines Ave
North Riverside, IL 60546
Phone (708) 628-7345

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1083859920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15605 W 154TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623481",
            "telephone_number": "913-909-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15605 W 154TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623481",
            "telephone_number": "913-909-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZHAUSER",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020685",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "6296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.