Active NPI
Jillane E Holland, LISW-S
- Clinical Social Worker
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1303346-SUPV
- Practice address
- 6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697 - Phone
- (216) 468-5000
- NPI assigned
- Jun 22, 2011
- 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 | I.1303346-SUPV | OH | Primary |
Addresses
Primary practice location
6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697
Mailing address
7465 Elk Creek Rd
Middletown, OH 45042-9266
Phone (216) 926-9638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5226 E 82ND St
Indianapolis, IN 46250-1628
Phone (317) 842-6668
5404 Georgetown Rd
Indianapolis, IN 46254-5500
Phone (317) 291-5404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Post Acute Services PC | Current | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
| CNP Operating Co LLC | Current | Accepting new patients | |
| Community Mental Health Centers of Warren County, Inc | Past | Accepting new patients |
Locations
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
6601 Centerville Business Pkwy
Ste 310
Dayton, OH 45459
Phone (937) 637-3765
8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, OH
- NPI 1740278381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1124314745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7465 ELK CREEK RD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450429266",
"telephone_number": "216-926-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 CENTERVILLE BUSINESS PKWY STE 310",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454592697",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JILLANE",
"middle_name": "E",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1303346-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.