Individual provider Active NPI

Danielle Nicole Holman, MSW,LSW

  • Clinical Social Worker
  • Independence, OH
National Provider Identifier
1396417846
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1200921 Issued in OH
Practice address
6133 Rockside Rd Ste 403
Independence, OH 44131-2244
Phone
(216) 455-5571
Fax
(330) 331-5805
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 1200921 OH Primary

Addresses

Primary practice location

6133 Rockside Rd Ste 403
Independence, OH 44131-2244

Mailing address

PO Box 360823
Strongsville, OH 44136-0014
Phone (330) 331-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@lamplightcounseling.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002001256 OH Practitioner - Clinical Social Worker 3173054020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamplight Counseling Services LLCGroup PAC ID 7113233750, 7 clinicians

Practice addresses (Care Compare)

4015 Medina Rd
Suite 90
Medina, OH 44256-5970
Phone 33033158005970

6133 Rockside Rd
Suite 403
Independence, OH 44131-2244
Phone (216) 455-5571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1200921OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lamplight Counseling Services LLC Clinical CurrentSince Jul 5, 2024 Accepting new patients
New Leaf Behavioral Health and Wellness, LLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

6133 Rockside Rd
Ste 403
Independence, OH 44131
Phone (216) 455-5571

4015 Medina Rd
Ste 90
Medina, OH 44256
Phone (330) 331-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1396417846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360823",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441360014",
            "telephone_number": "330-331-5800",
            "fax_number": "330-331-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 ROCKSIDE RD STE 403",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312244",
            "telephone_number": "216-455-5571",
            "fax_number": "330-331-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSW,LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1200921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@lamplightcounseling.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6133 Rockside Rd Ste 403",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.