Individual provider Active NPI

Holly Stuart-Caines

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1336684042
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081973 Issued in NY
Practice address
252 Java St Ste 213
Brooklyn, NY 11222-5519
Phone
(718) 612-7618
NPI assigned
Jan 4, 2017
Reactivated
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 081973 NY Primary

Addresses

Primary practice location

252 Java St Ste 213
Brooklyn, NY 11222-5519

Mailing address

252 Java St Ste 213
Brooklyn, NY 11222-5519
Phone (718) 612-7618

Other names 1

  • Holly Stuart Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly@pursueyourpeace.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081973NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connect to Growth Psychotherapy LCSW PLLC Clinical Current Accepting new patients
Holly Stuart-Caines Clinical CurrentSince Mar 4, 2021 Accepting new patients

Locations

252 Java St
Ste 213
Brooklyn, NY 11222
Phone (718) 612-7618

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1336684042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 213",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225519",
            "telephone_number": "718-612-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 213",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225519",
            "telephone_number": "718-612-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART-CAINES",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2023-10-10",
        "certification_date": "2021-02-26",
        "deactivation_date": "2023-10-04",
        "reactivation_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly@pursueyourpeace.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "252 Java St Ste 213",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112225519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "STUART",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.