Active NPI
Saundra L Holmes, LISW
- Clinical Social Worker
- Euclid, OH
National Provider Identifier
1396041281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1100059
- Practice address
- 24101 Lake Shore Blvd
Apt 814
Euclid, OH 44123-4210 - Phone
- (216) 831-2255
- Fax
- (216) 378-3906
- NPI assigned
- Feb 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1100059 | OH | Primary |
Addresses
Primary practice location
24101 Lake Shore Blvd
Apt 814
Euclid, OH 44123-4210
Mailing address
PO Box 32323
Euclid, OH 44132
Phone (216) 346-0832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268768 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1396041281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32323",
"city": "EUCLID",
"state": "OH",
"postal_code": "44132",
"telephone_number": "216-346-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24101 LAKE SHORE BLVD",
"address_2": "APT 814",
"city": "EUCLID",
"state": "OH",
"postal_code": "441234210",
"telephone_number": "216-831-2255",
"fax_number": "216-378-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "SAUNDRA",
"middle_name": "L",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-10",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1100059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268768",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.