Holly S Spire, LCSW-R
Individual provider Active NPI Clinical Social Worker · Warrensburg, NY
NPI 1114296100 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1114296100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R074510 (NY)
- Practice address
- 3767 Main St
Warrensburg, NY 12885-1890 - Phone
- (518) 623-2844
- Fax
- (518) 623-3416
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Professional Medical Concierge Services PLLC
Practice addresses (Care Compare)
1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912002254 | NY | Practitioner - Clinical Social Worker | 0941596266 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R074510 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Medical Concierge Services, PLLC | Clinical | Current |
Accepting new patients |
| Adirondack Samaritan Counseling Center, Inc | Current |
Accepting new patients |
Locations
1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028
15 Boulevard St
Hudson Falls, NY 12839
Phone (518) 747-2994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R074510 | NY | Yes |
Addresses
Primary practice location
3767 Main St
Warrensburg, NY 12885-1890
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04500767 | Medicaid | NY |
Other names
- Holly Jo Stevens
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | holly.spire.1@1823.direct.athenahealth.com |
Other providers in Warrensburg, NY
- Raluca Sandler
- Donna S Sauer-Jones
- Katherine Theresa Skola
- Michael W Slome
- Stephanie Soto
- Cairenn Spooner
- Krista Strafford
- James Michael Sullivan
- Matthew Terry
- Jessica Ann Thaler
All providers in Warrensburg, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.