Nora Lyn Hollenkamp, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25149 Issued in MN

Practice address

370 Selby Ave Ste 322
Saint Paul, MN 55102-1884

Phone

(612) 723-1610

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Tides Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1750013694
  NPD Authorized official
• Hennepin Home Health Care, Inc.

  • Home Health Agency
  • Brooklyn Park, MN
  • NPI 1275523953
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1144893322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SELBY AVE STE 322",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021884",
            "telephone_number": "612-723-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SELBY AVE STE 322",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021884",
            "telephone_number": "612-723-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENKAMP",
        "first_name": "NORA",
        "middle_name": "LYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Behavioral Health LLC
• Holistic Nursing Corp
• Deidra S Holland, MSOT, ED.D.
• Sharon Joanne Holle, LADC
• Kaitlyn Huebsch Hollenbach, OD, FAAO
• Krystle Holliday
• Ronda Holliday
• Jane Mary Hollis, M.A., L..P.
• Howard Hollischer, PTA
• Kyle Anthony Holloway, M.D.

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.