Jodie R. Holzman Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15022 Issued in MN

Legal business name

JODIE R. HOLZMAN LICSW, LLC

Practice address

790 Cleveland Ave S
Suite # 207
Saint Paul, MN 55116-3858

Phone

(612) 987-4433

Fax

(651) 690-0968

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Jodie Rae Holzman, LICSWNPI 1063528818

Title

Owner

Phone

(612) 987-4433

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodie Rae Holzman, LICSW

  • Clinical Social Worker
  • Rochester, MN
  • NPI 1063528818
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1235458043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S",
            "address_2": "SUITE # 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163858",
            "telephone_number": "612-987-4433",
            "fax_number": "651-690-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S",
            "address_2": "SUITE # 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163858",
            "telephone_number": "612-987-4433",
            "fax_number": "651-690-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE R. HOLZMAN LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "HOLZMAN",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-987-4433",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyapal Galuak Jiech
• Nasteha Hussein Jimale
• Ying Jin, M.D.
• Alemu Jirane, RN
• JJS Optical LLC
• Shane Johannsen, MD
• Dorothea David Johansen, D.C.
• Karen Jeanne Johanson, PT
• Timothy Johansson Sr., PSYD
• Elizabeth Johlson

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.