Individual provider Active NPI

Alex Holmes, LSW

  • Social Worker
  • Lancaster, PA
National Provider Identifier
1114695624
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW134991 Issued in PA
Practice address
1929 Lincoln Hwy E Ste 150
Lancaster, PA 17602-3685
Phone
(717) 397-7625
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW134991 PA Primary

Addresses

Primary practice location

1929 Lincoln Hwy E Ste 150
Lancaster, PA 17602-3685

Mailing address

1929 Lincoln Hwy E Ste 100
Lancaster, PA 17602-3347
Phone (717) 947-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230515000851 PA Practitioner - Clinical Social Worker 4880050012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Puglisi Counseling LLCGroup PAC ID 6507252327, 9 clinicians

Practice addresses (Care Compare)

712 S Keyser Ave
Taylor, PA 18517-9612
Phone (570) 766-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW134991PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Puglisi Counseling LLC CurrentSince May 2, 2023 Accepting new patients
CHI St. Joseph Children's Health PastSince Sep 5, 2021 Accepting new patients
St Joseph Health Ministries PastSince Sep 5, 2021 Accepting new patients
Marsinlen Blackwell Counseling, LLC PastSince Mar 12, 2024 Accepting new patients

Locations

201 Lackawanna Ave
Scranton, PA 18503
Phone (570) 766-0772

201 Lackawanna Ave
Ste 316
Scranton, PA 18503
Phone (570) 766-0772

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1114695624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 LINCOLN HWY E STE 100",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023347",
            "telephone_number": "717-947-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 LINCOLN HWY E STE 150",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023685",
            "telephone_number": "717-397-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ALEX",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.