Holly Campbell O'Flaherty, M.S.S.A., L.I.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 0005469 Issued in OH

Practice address

15200 Madison Ave
Lakewood, OH 44107-4019

Phone

(216) 509-3465

Fax

(216) 529-1630

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Berea Children's Home and Family Services

  • Community/Behavioral Health Agency
  • Lakewood, OH
  • NPI 1437347051
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497885222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 ROCKPORT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115715",
            "telephone_number": "216-941-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074019",
            "telephone_number": "216-509-3465",
            "fax_number": "216-529-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FLAHERTY",
        "first_name": "HOLLY",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mrs.",
        "credential": "M.S.S.A., L.I.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0005469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nu Orra LTD (Nu Orra Health and Beauty)
• Nurtured Foundation, LLC
• Nurturing Touch
• Antonia Nwankwo, MD
• Patricia O'Donnell
• Christina O'Keefe, M.ED. ED.S
• Michael E O'Leary I, D.D.S.
• Kelly O'Neill, PMHNP-BC
• Oh Hi Social Skills
• Ohio CVS Stores LLC (CVS Pharmacy #03340)

• Clinical Social Worker in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Clinical Social Worker in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.