Active NPI
Michael Holland, LCSW
- Social Worker
- Point Pleasant, WV
National Provider Identifier
1386150902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CP00943198
- Practice address
- 3471 Ohio River Road
Point Pleasant, WV 25550 - Phone
- (304) 812-5965
- Fax
- (304) 812-5961
- NPI assigned
- Dec 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CP00943198 | WV | Primary |
Addresses
Primary practice location
3471 Ohio River Road
Point Pleasant, WV 25550
Mailing address
PO Box 457
Beaver, PA 15009-0457
Phone (724) 660-4159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP00943198 | Other | WV | WV STATE |
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 |
|---|---|---|---|
| CP00943198 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope for Tomorrow, LLC | Past | Accepting new patients | |
| New Lifeclinics Inc | 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.
-
- Substance Abuse Rehabilitation Facility
- Point Pleasant, WV
- NPI 1639733744
-
- Addiction Medicine (Family Medicine) Physician
- Point Pleasant, WV
- NPI 1316354574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1386150902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "BEAVER",
"state": "PA",
"postal_code": "150090457",
"telephone_number": "724-660-4159",
"fax_number": "724-660-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3471 OHIO RIVER ROAD",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "25550",
"telephone_number": "304-812-5965",
"fax_number": "304-812-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00943198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV STATE",
"identifier": "CP00943198",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Point Pleasant, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.