Organization Active NPI

James Holland Jr, Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1134713001
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JAMES HOLLAND JR, LICENSED CLINICAL SOCIAL WORKER INC
Practice address
4646 Wilson Rd Ste 200
Bakersfield, CA 93309-5895
Phone
(661) 264-6428
Fax
(844) 361-4927
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mr. James Earl Holland Jr., LCSW, MSWNPI 1558510743
Title
Owner/Ceo
Phone
(661) 264-6428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4646 Wilson Rd Ste 200
Bakersfield, CA 93309-5895

Mailing address

PO Box 21662
Bakersfield, CA 93390-1662
Phone (661) 264-6428

National Provider Directory

National Provider Directory

Locations

4646 Wilson Rd
Ste 200
Bakersfield, CA 93309
Phone (661) 264-6428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1134713001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21662",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901662",
            "telephone_number": "661-264-6428",
            "fax_number": "844-361-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 WILSON RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095895",
            "telephone_number": "661-264-6428",
            "fax_number": "844-361-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES HOLLAND JR, LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "661-264-6428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.