Active NPI
Joan Marie Holland, LCSW
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1225234990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C000443
- Practice address
- 1 Martha LN
Chapel Hill, NC 27514-1954 - Phone
- (919) 933-8405
- NPI assigned
- Jun 21, 2007
- 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 | C000443 | NC | Primary |
Addresses
Primary practice location
1 Martha LN
Chapel Hill, NC 27514-1954
Mailing address
1 Martha LN
Chapel Hill, NC 27514-1954
Phone (919) 933-8405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054607 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 43074 | Other | NC | BCBSNC |
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 |
|---|---|---|---|
| C000443 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225234990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MARTHA LN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141954",
"telephone_number": "919-933-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MARTHA LN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141954",
"telephone_number": "919-933-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JOAN",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C000443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1054607",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "43074",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.