Dana Holbrook, LCSW

Key facts

NPI

1306453196

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

44SC05528200 (NJ)

Practice address

272 Broad St
Red Bank, NJ 07701-2044

Phone

(732) 747-7665

NPI assigned

Sep 26, 2020

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2020.

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1306453196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 KICKAPOO AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423429",
            "telephone_number": "908-230-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012044",
            "telephone_number": "732-747-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05528200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

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• Molly Holt, LSW
• Brandon J Hom, PA-C
• Michael S Hood, PA-C
• Hope in Christ, LLC

All providers in Red Bank, NJ · Clinical Social Worker in New Jersey