Active NPI
Adam G Holman, LCSW
- Clinical Social Worker
- Mesa, AZ
National Provider Identifier
1376069963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-19500
- Practice address
- 6151 S Power Rd Apt 1003
Mesa, AZ 85212-6482 - Phone
- (928) 851-3786
- NPI assigned
- Aug 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9153-123 | WI | |
| Clinical Social Worker | 1041C0700X | 130673 | WI | |
| Clinical Social Worker | 1041C0700X | LCSW-19500 | AZ | Primary |
Addresses
Primary practice location
6151 S Power Rd Apt 1003
Mesa, AZ 85212-6482
Mailing address
6151 S Power Rd Apt 1003
Mesa, AZ 85212-6482
Phone (262) 365-7762
Other practice location 1
4365 E Pecos Rd Ste 119
Gilbert, AZ 85295-8052
Phone (480) 999-4454
Other practice location 2
7633 Ganser Way Ste 204
Madison, WI 53719-2092
Phone (608) 829-1800
Other practice location 3
49 Kessel Ct
Madison, WI 53711-6275
Phone (608) 280-2700
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-19500 | AZ | MD | Clinical Social Worker |
| 130673 | WI | MD | Clinical Social Worker |
| 9153-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Solutions SC | Past | Accepting new patients | |
| Mental Health Solutions, S.C. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1912948324
-
- Mental Health Counselor
- Madison, WI
- NPI 1548320146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1376069963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 S POWER RD APT 1003",
"city": "MESA",
"state": "AZ",
"postal_code": "852126482",
"telephone_number": "262-365-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 S POWER RD APT 1003",
"city": "MESA",
"state": "AZ",
"postal_code": "852126482",
"telephone_number": "928-851-3786"
}
],
"practiceLocations": [
{
"address_1": "4365 E Pecos Rd Ste 119",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852958052",
"country_code": "US",
"telephone_number": "480-999-4454",
"fax_number": "480-581-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7633 Ganser Way Ste 204",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537192092",
"country_code": "US",
"telephone_number": "608-829-1800",
"fax_number": "608-829-1885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Kessel Ct",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537116275",
"country_code": "US",
"telephone_number": "608-280-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMAN",
"first_name": "ADAM",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-16",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9153-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "130673",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-19500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.