Active NPI
Erika Amelia Holm
- Clinical Social Worker
- Gardner, MA
National Provider Identifier
1467154385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 228633
- Practice address
- 242 Green St
South Entrance Professional Suite
Gardner, MA 01440 - Phone
- (978) 630-6330
- NPI assigned
- Mar 22, 2023
- 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 | 228633 | MA | Primary |
Addresses
Primary practice location
242 Green St
South Entrance Professional Suite
Gardner, MA 01440
Mailing address
194 Central St Apt 408
Gardner, MA 01440-4304
Phone (978) 340-3458
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 |
|---|---|---|---|
| 228633 | MA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1467154385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 CENTRAL ST APT 408",
"city": "GARDNER",
"state": "MA",
"postal_code": "014404304",
"telephone_number": "978-340-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 GREEN ST",
"address_2": "SOUTH ENTRANCE PROFESSIONAL SUITE",
"city": "GARDNER",
"state": "MA",
"postal_code": "01440",
"telephone_number": "978-630-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "ERIKA",
"middle_name": "AMELIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "228633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.