Individual provider Active NPI

Holly E. Wood, MSW, LISW-S

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1366974636
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-5786 SUPV Issued in OH
Practice address
75 E Wilson Bridge Rd Ste C2
Worthington, OH 43085-2362
Phone
(614) 558-1991
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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-5786 SUPV OH Primary

Addresses

Primary practice location

75 E Wilson Bridge Rd Ste C2
Worthington, OH 43085-2362

Mailing address

285 Illinois Ave
Westerville, OH 43081-2357
Phone (614) 558-1991

Other practice location 1

285 Illinois Ave
Westerville, OH 43081-2357
Phone (614) 558-1991

Other names 1

  • Holly Wood Geiger Former name

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

LicenseStateTypeSpecialty
I-5786 SUPVOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1366974636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 ILLINOIS AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812357",
            "telephone_number": "614-558-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E WILSON BRIDGE RD STE C2",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852362",
            "telephone_number": "614-558-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812357",
            "country_code": "US",
            "telephone_number": "614-558-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "HOLLY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-5786 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "GEIGER",
            "middle_name": "WOOD",
            "credential": "MSW, LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.