Active NPI
Susan Holzberger, MSW, LISW-S
- Clinical Social Worker
- Hamilton, OH
National Provider Identifier
1366738452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I. 0500064 SUPV
- Practice address
- 1146 Noyes Ave
Hamilton, OH 45015-2034 - Phone
- (513) 675-9267
- NPI assigned
- Jun 27, 2011
- Last updated
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I. 0500064 SUPV | OH | Primary |
Addresses
Primary practice location
1146 Noyes Ave
Hamilton, OH 45015-2034
Mailing address
1146 Noyes Ave
Hamilton, OH 45015-2034
Phone (513) 675-9267
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I. 0500064 SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Psychological Testing, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1366738452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 NOYES AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450152034",
"telephone_number": "513-675-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1146 NOYES AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450152034",
"telephone_number": "513-675-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZBERGER",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "MSW, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I. 0500064 SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.