Individual provider Active NPI

Erica Holman, LMSW

  • Clinical Social Worker
  • Haslett, MI
National Provider Identifier
1174206353
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086366 Issued in MI
Practice address
1476 Haslett Rd
Haslett, MI 48840-7621
Phone
(517) 449-7140
NPI assigned
Aug 14, 2023
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086366 MI Primary

Addresses

Primary practice location

1476 Haslett Rd
Haslett, MI 48840-7621

Mailing address

1422 Haslett Rd
Haslett, MI 48840-8420
Phone (517) 449-7140

Other practice location 1

1422 Haslett Rd
Haslett, MI 48840-8420
Phone (517) 449-7140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231031000835 MI Practitioner - Clinical Social Worker 7810221702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2149 Jolly Rd
Suite 500
Okemos, MI 48864-6028
Phone (517) 347-4645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Area Care Center, Inc Current Accepting new patients
Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC Clinical CurrentSince Oct 10, 2023 Accepting new patients

Locations

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

Organizations & group practices 2

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1174206353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408420",
            "telephone_number": "517-449-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488407621",
            "telephone_number": "517-449-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1422 Haslett Rd",
            "address_purpose": "LOCATION",
            "city": "Haslett",
            "state": "MI",
            "postal_code": "488408420",
            "country_code": "US",
            "telephone_number": "517-449-7140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "ERICA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.