Holly Grgas, LCSW, PMH-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC20875 Issued in ME

Practice address

149 Newton St
Portland, ME 04103-1534

Phone

(845) 553-3161

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1467828673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NEWTON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031534",
            "telephone_number": "845-553-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NEWTON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031534",
            "telephone_number": "845-553-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Llewellyn Ave # 4",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "95008",
            "country_code": "US",
            "telephone_number": "408-379-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950624668",
            "country_code": "US",
            "telephone_number": "831-462-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950624668",
            "country_code": "US",
            "telephone_number": "831-462-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRGAS",
        "first_name": "HOLLY",
        "credential": "LCSW, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory V Sarka, DDS, MD, LLC
• Gregory W. Nevens, Ed.D PA
• Jillian Gregory, DO
• Jenner Elizabeth Greil, ARNP
• Elizabeth Salko Grenier, RN, CRNA
• Ann-Marie Gribbin-Bouchard, ATC, PTA
• Griffee Dental PC
• Brianna Marie Griffin
• Daniel Jeffrey Griffin, MD
• Emily Anne Griffin

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.