Lisa M Johnson-Holloway, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7326 Issued in CT

Practice address

701 Cottage Grove Rd Ste F120
Bloomfield, CT 06002-3095

Phone

(860) 243-3315

Fax

(860) 242-7811

NPI assigned

Jun 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

University of Connecticut School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reflections Psychotherapy Services LLC

  • Community/Behavioral Health Agency
  • Bloomfield, CT
  • NPI 1053612150
  Medicare reassignment Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494720000000",
    "number": "1235459959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060020253",
            "telephone_number": "860-243-3315",
            "fax_number": "860-242-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE F120",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023095",
            "telephone_number": "860-243-3315",
            "fax_number": "860-242-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-HOLLOWAY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2017-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M. Lafayette, LLC
• Eliman K Jeng
• Jennifer W Pennoyer MD LLC
• Jill R. Cristo Ma LMFT LLC
• Joel M. Miller M.D. PC
• Keniesha Johnson, LCSW
• Samantha Johnson
• Michelle A Joiner
• Wanda Jones, CMAA
• Akesha Marie Jordan, LMSW

• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.