Active NPI
Nicole Holland, LCSW
- Clinical Social Worker
- Greenwood, IN
National Provider Identifier
1407900376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005260A
- Practice address
- 435 E Main St Ste 120
Greenwood, IN 46143-1454 - Phone
- (317) 743-8202
- NPI assigned
- Jan 22, 2007
- 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 | 34005260A | IN | Primary |
Addresses
Primary practice location
435 E Main St Ste 120
Greenwood, IN 46143-1454
Mailing address
435 E Main St Ste 200
Greenwood, IN 46143-1457
Phone (317) 743-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Counseling Services, LLC | Current | Accepting new patients |
Locations
435 E Main St
Ste 200
Greenwood, IN 46143
Phone (317) 473-8202
200 Byrd Way
Ste 155
Greenwood, IN 46143
Phone (317) 599-2624
Organizations & group practices 1
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.
-
- Professional Counselor
- Greenwood, IN
- NPI 1821509126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1407900376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E MAIN ST STE 200",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431457",
"telephone_number": "317-743-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E MAIN ST STE 120",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431454",
"telephone_number": "317-743-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005260A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.