Active NPI
Nicholas Holcman, LSW
- Social Worker
- Marysville, OH
National Provider Identifier
1174030266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2208295
- Practice address
- 715 S Plum St
Marysville, OH 43040-1631 - Phone
- (937) 644-9192
- NPI assigned
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802089656 | MI | |
| Clinical Social Worker | 1041C0700X | 000566635 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Social Worker | 104100000X | S.2208295 | OH | Primary |
Addresses
Primary practice location
715 S Plum St
Marysville, OH 43040-1631
Mailing address
1791 Alum Creek Dr
Columbus, OH 43207-1757
Phone (614) 445-8131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802089656 | MI | MD | Social Worker |
| S.2208295 | OH | MD | Social Worker |
| 000566635 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1174030266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071757",
"telephone_number": "614-445-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S PLUM ST",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430401631",
"telephone_number": "937-644-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCMAN",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-10",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802089656",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "000566635",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2208295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.