Individual provider Active NPI

Holly N Harmon, LISW-S

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1205815362
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002369 Issued in OH
Practice address
300 College Park
University of Dayton Counseling Center
Dayton, OH 45459-0910
Phone
(937) 229-3141
Fax
(937) 229-2226
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014428 PA
Clinical Social Worker 1041C0700X I.2002369 OH Primary

Addresses

Primary practice location

300 College Park
University of Dayton Counseling Center
Dayton, OH 45459-0910

Mailing address

300 College Park
University of Dayton
Dayton, OH 45459-0910
Phone (937) 229-3141

Other identifiers 1

IdentifierTypeStateIssuer
I-2002369OtherOHOHIO SOCIAL WORK LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2002369OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Dayton CurrentSince Sep 15, 2024 Accepting new patients

Locations

300 College Park Ave
Dayton, OH 45469
Phone (937) 229-1000

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1205815362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK",
            "address_2": "UNIVERSITY OF DAYTON",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454590910",
            "telephone_number": "937-229-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK",
            "address_2": "UNIVERSITY OF DAYTON COUNSELING CENTER",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454590910",
            "telephone_number": "937-229-3141",
            "fax_number": "937-229-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "HOLLY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SOCIAL WORK LICENSE",
            "identifier": "I-2002369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.