Individual provider Active NPI

Elizabeth Holley, LCSW-C

  • Clinical Social Worker
  • Hunt Valley, MD
National Provider Identifier
1437521184
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05823 Issued in MD
Practice address
11350 McCormick Rd
Exec.Plaza One, Suite 408
Hunt Valley, MD 21031-1002
Phone
(410) 527-0280
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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 05823 MD Primary

Addresses

Primary practice location

11350 McCormick Rd
Exec.Plaza One, Suite 408
Hunt Valley, MD 21031-1002

Mailing address

11350 McCormick Rd
Exec.Plaza One, Suite 408
Hunt Valley, MD 21031-1002
Phone (410) 527-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160114000909 MD Practitioner - Clinical Social Worker 1951604552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

1311 Londontown Blvd
Suite 130a
Eldersburg, MD 21784-6439
Phone (410) 552-0773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05823MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Counseling Centers LLC CurrentSince Feb 19, 2025 Accepting new patients

Locations

1311 Londontown Blvd
Ste 130A
Sykesville, MD 21784
Phone (410) 356-9208

200 E Joppa Rd
Ste 407
Towson, MD 21286
Phone (410) 828-6262

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1437521184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXEC.PLAZA ONE, SUITE 408",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-527-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXEC.PLAZA ONE, SUITE 408",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-527-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "ELIZABETH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.