Active NPI
Mary Patricia Holzbauer, CSW
- Clinical Social Worker
- Niagara, WI
National Provider Identifier
1447385133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3469120
- Practice address
- 1201 Jackson St
Marinette County Health and Human Services
Niagara, WI 54151 - Phone
- (715) 732-7760
- Fax
- (715) 732-7711
- NPI assigned
- Feb 22, 2007
- Last updated
- Jul 8, 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 | 3469120 | WI | Primary |
Addresses
Primary practice location
1201 Jackson St
Marinette County Health and Human Services
Niagara, WI 54151
Mailing address
2500 Hall Ave
Suite a Marinette County Health and Human Services
Marinette, WI 54143
Phone (715) 732-7760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3469120 | Other | WI | CSW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3469120 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447385133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HALL AVE",
"address_2": "SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143",
"telephone_number": "715-732-7760",
"fax_number": "715-732-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 JACKSON ST",
"address_2": "MARINETTE COUNTY HEALTH AND HUMAN SERVICES",
"city": "NIAGARA",
"state": "WI",
"postal_code": "54151",
"telephone_number": "715-732-7760",
"fax_number": "715-732-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZBAUER",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "3469120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSW",
"identifier": "3469120",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niagara, WI
- Gilbert Corbin Engel, MSW LCSW ACSW
- Florence County Rescue Squad (Aurora Homestead Rescue Squad)
- Florence County Rescue Squad (Aurora Homestead Rescue Squad)
- Maureen Therese Garvaglia, PTA
- Terri Hager
- In Home Rehab of Dickinson County
- John L Loewen MDSC
- Bonnie Lou Koski, DRNP, FNP-BC
- Katherine Go Liao, MD
- John Lloyd Loewen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.