Individual provider Active NPI

Holly Metzger, LISW

  • Clinical Social Worker
  • Lima, OH
National Provider Identifier
1255565628
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009767 Issued in OH
Practice address
924 N Cable Rd
Lima, OH 45805-1704
Phone
(614) 334-6903
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0009767 OH Primary

Addresses

Primary practice location

924 N Cable Rd
Lima, OH 45805-1704

Mailing address

1240 W Market St
Lima, OH 45805-2766
Phone (567) 376-9235

Other practice location 1

1240 W Market St
Suite B
Lima, OH 45805-2766
Phone (567) 376-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220401001616 OH Practitioner - Clinical Social Worker 2567858400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Lighthouse Behavioral Health Solutions, LLCGroup PAC ID 4486089893, 14 clinicians

Practice addresses (Care Compare)

4000 E Main St
Columbus, OH 43213-2950
Phone (614) 334-6903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health Solutions, LLC CurrentSince Mar 22, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4000 E Main St
Whitehall, OH 43213
Phone 6143346903 ext. 1316

4214 E Main St
Whitehall, OH 43213
Phone (330) 334-6903

Organizations & group practices 2

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1255565628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052766",
            "telephone_number": "567-376-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051704",
            "telephone_number": "614-334-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 W Market St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458052766",
            "country_code": "US",
            "telephone_number": "567-376-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "HOLLY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.