Active NPI
Dena M Holzemer, LISW
- Clinical Social Worker
- Toledo, OH
National Provider Identifier
1396017448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1200391
- Practice address
- 6605 W Central Ave
Toledo, OH 43617-1000 - Phone
- (419) 290-1718
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S1000128 | OH | |
| Clinical Social Worker | 1041C0700X | I.1200391 | OH | Primary |
Addresses
Primary practice location
6605 W Central Ave
Toledo, OH 43617-1000
Mailing address
4415 Mockingbird
Toledo, OH 43623
Phone (419) 290-1718
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 |
|---|---|---|---|
| I.1200391 | OH | MD | Clinical Social Worker |
| S1000128 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1396017448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 MOCKINGBIRD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-290-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171000",
"telephone_number": "419-290-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZEMER",
"first_name": "DENA",
"middle_name": "M",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S1000128",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1200391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.