Individual provider Active NPI

Toni Holder

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1457403305
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R034815 Issued in NY
Practice address
3043 Avenue W
Brooklyn, NY 11229-5505
Phone
(718) 769-4344
Fax
(718) 769-8736
NPI assigned
Jan 18, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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 R034815 NY Primary

Addresses

Primary practice location

3043 Avenue W
Brooklyn, NY 11229-5505

Mailing address

189 Montague St
Suite 418
Brooklyn, NY 11201-3610
Phone (718) 875-5625

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

LicenseStateTypeSpecialty
R034815NYMDClinical Social Worker
034815NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1457403305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "SUITE 418",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "718-875-5625",
            "fax_number": "718-875-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295505",
            "telephone_number": "718-769-4344",
            "fax_number": "718-769-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "TONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.