Individual provider Active NPI

Holly Hartman, PH.D., MSW, LCSW

  • Clinical Social Worker
  • Hershey, PA
National Provider Identifier
1376881532
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019784 Issued in PA
Practice address
231 W Caracas Ave
Hershey, PA 17033-1513
Phone
(717) 298-1350
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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 CW019784 PA Primary

Addresses

Primary practice location

231 W Caracas Ave
Hershey, PA 17033-1513

Mailing address

749 Lewisberry Rd
Lewisberry, PA 17339-9573
Phone (717) 623-3051

Other practice location 1

1427 E Market St
York, PA 17403-1254
Phone (717) 755-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CW019784PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Counseling Services 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1376881532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 LEWISBERRY RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399573",
            "telephone_number": "717-623-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W CARACAS AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331513",
            "telephone_number": "717-298-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1427 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174031254",
            "country_code": "US",
            "telephone_number": "717-755-0011",
            "fax_number": "717-755-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.