Individual provider Active NPI

Therese Ann Hollwitz, LCSW

  • Clinical Social Worker
  • Larchmont, NY
National Provider Identifier
1497835383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069547 Issued in NY
Practice address
2 East Ave
Larchmont, NY 10538-2462
Phone
(914) 393-3499
Fax
(914) 834-7370
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069547 NY Primary
Clinical Social Worker 1041C0700X 005153 CT

Addresses

Primary practice location

2 East Ave
Larchmont, NY 10538-2462

Mailing address

1 Boulder Rd
Larchmont, NY 10538-1220
Phone (914) 834-7371

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
069547NYMDClinical Social Worker
005153CTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497835383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOULDER RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381220",
            "telephone_number": "914-834-7371",
            "fax_number": "914-834-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EAST AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382462",
            "telephone_number": "914-393-3499",
            "fax_number": "914-834-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLWITZ",
        "first_name": "THERESE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069547",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.