Active NPI
Lauren Holmboe
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1497333728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0134371
- Practice address
- 3900 Woodland Ave
Philadelphia, PA 19104-4551 - Phone
- (571) 494-9373
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW024645 | PA | |
| Clinical Social Worker | 1041C0700X | 089.0134371 | VT | Primary |
Addresses
Primary practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Mailing address
3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (571) 494-9373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089.0134371 | Other | VT | LICESNED INDEPENDANT CLINICAL SOCIAL WORKER |
| CW024645 | Other | PA | LICENSED CLINICAL SOCIAL WORKER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lauren.holmboe@va.gov | White River Junction VAMC | |
| Direct Messaging Address | lauren.holmboe@va.gov | Direct | Philadelphia VA Medical Center |
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 |
|---|---|---|---|
| CW024645 | PA | MD | Clinical Social Worker |
| 089.0134371 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1497333728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "571-494-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "571-494-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMBOE",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW024645",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0134371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICESNED INDEPENDANT CLINICAL SOCIAL WORKER",
"identifier": "089.0134371",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "CW024645",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lauren.holmboe@va.gov",
"affiliation": "Y",
"affiliationName": "White River Junction VAMC",
"address_1": "215 N Main St",
"city": "White River Junction",
"state": "VT",
"country_code": "US",
"postal_code": "050013833",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lauren.holmboe@va.gov",
"affiliation": "Y",
"affiliationName": "Philadelphia VA Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3900 Woodland Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191044551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.