Todd Holsapple, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012582 Issued in IL

Practice address

101 S Locust St
Centralia, IL 62801-3506

Phone

(618) 533-1391

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Community Resource Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carlyle, IL
  • NPI 1154599884
  NPD (past)
• Community Resource Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carlyle, IL
  • NPI 1538395793
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1104910264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SALEM DR",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628813822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LOCUST ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013506",
            "telephone_number": "618-533-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSAPPLE",
        "first_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalisa Anne Henson, CNM
• Heritage Woods of Centralia, LLC
• Arianna Higgins
• Highland Park CVS, L.L.C.
• Kaitlyn Hoffman
• Julie Holtkamp
• Heather Renae Howe, M.S.
• Todd Michael Hoyt, ATC
• Cody Huels, PT
• Karen Diane Hummel, PAC

• All providers in Centralia, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.