Individual provider Active NPI

Holly Greye, LCSW

  • Clinical Social Worker
  • Manalapan, NJ
National Provider Identifier
1104905439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC43004 Issued in NJ
Practice address
710 Tennent Rd
Suite 303
Manalapan, NJ 07726-3161
Phone
(732) 972-5635
Fax
(732) 679-2169
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SC43004 NJ Primary

Addresses

Primary practice location

710 Tennent Rd
Suite 303
Manalapan, NJ 07726-3161

Mailing address

710 Tennent Rd
Suite 303
Manalapan, NJ 07726-3161
Phone (732) 972-5635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC43004NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LDZ Psychotherapy and Consulting, LLC Clinical Past Accepting new patients
Mindy Staum, LCSW, P.a Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104905439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TENNENT RD",
            "address_2": "SUITE 303",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263161",
            "telephone_number": "732-972-5635",
            "fax_number": "732-679-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 TENNENT RD",
            "address_2": "SUITE 303",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263161",
            "telephone_number": "732-972-5635",
            "fax_number": "732-679-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREYE",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC43004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.