Individual provider Active NPI

Dorothy Estella Adamson Holley, PH.D., LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1285791335
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07458 Issued in MD
Practice address
2818 Evergreen Ave
Baltimore, MD 21214-1735
Phone
(410) 444-6824
Fax
(410) 444-6824
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 07458 MD Primary

Addresses

Primary practice location

2818 Evergreen Ave
Baltimore, MD 21214-1735

Mailing address

2818 Evergreen Ave
Baltimore, MD 21214-1735
Phone (410) 444-6824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060111001077 MD Practitioner - Clinical Social Worker 1557384930 Reassigns benefits to 2 organizations
I20231129002569 DC Practitioner - Clinical Social Worker 1557384930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2818 Evergreen Ave
Baltimore, MD 21214-1735
Phone (443) 413-6830

Merit-based Incentive Payment System (MIPS)

Final score
90.29 of 100Reported as group
Quality
73.37
Improvement activities
40
Cost
83.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
07458MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Holistic Counseling Clinical CurrentSince Mar 11, 2019 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285791335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 EVERGREEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141735",
            "telephone_number": "410-444-6824",
            "fax_number": "410-444-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 EVERGREEN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141735",
            "telephone_number": "410-444-6824",
            "fax_number": "410-444-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON HOLLEY",
        "first_name": "DOROTHY",
        "middle_name": "ESTELLA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.