Active NPI
Holly Duvall Hallman, MSW, LCSW
- Clinical Social Worker
- Winston Salem, NC
National Provider Identifier
1508129701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008117
- Practice address
- 1920 W 1St St
Winston Salem, NC 27104-4220 - Phone
- (336) 716-4479
- NPI assigned
- Jun 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C008117 | NC | Primary |
Addresses
Primary practice location
1920 W 1St St
Winston Salem, NC 27104-4220
Mailing address
1133 Magnolia St
Winston Salem, NC 27103-4337
Phone (336) 692-4067
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1508129701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MAGNOLIA ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034337",
"telephone_number": "336-692-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 W 1ST ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044220",
"telephone_number": "336-716-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLMAN",
"first_name": "HOLLY",
"middle_name": "DUVALL",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.