Active NPI
Holly Van Buren, MSW
- Clinical Social Worker
- Saginaw, MI
National Provider Identifier
1396857710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090112
- Practice address
- 304 S Niagara St
Saginaw, MI 48602-1570 - Phone
- (989) 799-6542
- NPI assigned
- Aug 31, 2006
- 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 | 6801090112 | MI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-00420 | MI |
Addresses
Primary practice location
304 S Niagara St
Saginaw, MI 48602-1570
Mailing address
304 S Niagara St
Saginaw, MI 48602-1570
Phone (989) 799-6542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0910448 | Other | MI | BCBS PIN |
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 |
|---|---|---|---|
| C-00420 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801090112 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1396857710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S NIAGARA ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486021570",
"telephone_number": "989-799-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S NIAGARA ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486021570",
"telephone_number": "989-799-6542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BUREN",
"first_name": "HOLLY",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090112",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-00420",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "0910448",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.