Holly Suellentrop, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63742 Issued in TX

Practice address

303 Jackson Hill St
Houston, TX 77007-7407

Phone

(713) 914-0556

Fax

(281) 000-0000

NPI assigned

Jan 17, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376965871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 JACKSON HILL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077407",
            "telephone_number": "713-914-0556",
            "fax_number": "281-200-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 JACKSON HILL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077407",
            "telephone_number": "713-914-0556",
            "fax_number": "281-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Wahler Pl SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324098",
            "country_code": "US",
            "telephone_number": "202-562-1214 x124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUELLENTROP",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "DC",
            "license": "LG50079964",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue M Palmer, M.D., P.a.
• Christina Sue, OM, L, AC
• Ashton Suehs, RBT
• Elizabeth C Sueing, PT, DPT
• Douglas Michael Suell Jr., M.D.
• Sheila B Suello, APRN
• Diana Suen, CRNA
• Kyle Suen, M.D.
• Orlando Rene Suero, M.D.
• Sufficient Group Home LLC.

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.