Active NPI
Holly Diana Hastings Gines, LCSW
- Clinical Social Worker
- Escondido, CA
National Provider Identifier
1083936983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20560
- Practice address
- 135 E 3Rd Ave
Ste. B
Escondido, CA 92025-4252 - Phone
- (760) 705-8468
- Fax
- (760) 735-2922
- NPI assigned
- Feb 18, 2010
- Last updated
- Feb 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS20560 | CA | Primary |
Addresses
Primary practice location
135 E 3Rd Ave
Ste. B
Escondido, CA 92025-4252
Mailing address
105 N Rose St
Ste. 211
Escondido, CA 92027-7222
Phone (760) 705-8468
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Association for the Treatment of Sexual Abuse | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Boundaries Clinic, Boundaries Family Counseling
- Community/Behavioral Health Agency
- Escondido, CA
- NPI 1821326158
-
dba Circle of Friends
- Clinic/Center
- Escondido, CA
- NPI 1306448519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1083936983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N ROSE ST",
"address_2": "STE. 211",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920277222",
"telephone_number": "760-705-8468",
"fax_number": "760-735-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 E 3RD AVE",
"address_2": "STE. B",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254252",
"telephone_number": "760-705-8468",
"fax_number": "760-735-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS GINES",
"first_name": "HOLLY",
"middle_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.