Active NPI
Mary Beth Holt, PH.D LISWS
- Clinical Social Worker
- Whitehall, OH
National Provider Identifier
1477756641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.9950
- Practice address
- 4653 E Main St
Whitehall, OH 43213-3298 - Phone
- (614) 252-0731
- Fax
- (614) 252-8468
- NPI assigned
- Jun 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I.0009950 | OH | |
| Clinical Social Worker | 1041C0700X | I.9950 | OH | Primary |
Addresses
Primary practice location
4653 E Main St
Whitehall, OH 43213-3298
Mailing address
1681 Oakland Park Ave
Columbus, OH 43224-3555
Phone (614) 252-0731
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mholt@buckeyeranch.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0009950 | OH | MD | Social Worker |
| I.9950 | OH | MD | Clinical Social Worker |
Interoperability endpoints
- marybeth.holt.1@26020.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1477756641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1681 OAKLAND PARK AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432243555",
"telephone_number": "614-252-0731",
"fax_number": "614-252-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4653 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133298",
"telephone_number": "614-252-0731",
"fax_number": "614-252-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PH.D LISWS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.0009950",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.9950",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mholt@buckeyeranch.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "4653 E Main St",
"city": "Whitehall",
"state": "OH",
"country_code": "US",
"postal_code": "432133298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Whitehall, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.