Active NPI
Paula Marie Holtman
- Clinical Social Worker
- Farmington, MN
National Provider Identifier
1184556789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35998
- Practice address
- 18598 Elk River TRL
Farmington, MN 55024-8640 - Phone
- (651) 333-0653
- NPI assigned
- May 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 35998 | MN | Primary |
Addresses
Primary practice location
18598 Elk River TRL
Farmington, MN 55024-8640
Mailing address
1201 Goldenray Dr
Faribault, MN 55021-7273
Phone (816) 695-5551
Other names 1
- Paula Marie McCrea
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 |
|---|---|---|---|
| 35998 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Potential Counseling | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1184556789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GOLDENRAY DR",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550217273",
"telephone_number": "816-695-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18598 ELK RIVER TRL",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550248640",
"telephone_number": "651-333-0653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTMAN",
"first_name": "PAULA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "35998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "MCCREA",
"middle_name": "MARIE",
"credential": "LGSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Farmington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.