Active NPI
Holly Denise Huffman, LSW
- Social Worker
- Fairfield, OH
National Provider Identifier
1558199018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005066
- Practice address
- 1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205 - Phone
- (513) 939-0300
- NPI assigned
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2005066 | OH | Primary |
Addresses
Primary practice location
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Mailing address
4010 Executive PK Dr Ste 225
Cincinnati, OH 45241-4010
Phone (937) 397-1693
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 |
|---|---|---|---|
| S.2005066 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully Psychiatry LLC | Past | Accepting new patients | |
| Mindfully, LLC | Social Worker | Past | Accepting new patients |
| Mindfully, LLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Montgomery, OH
- NPI 1881341543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1558199018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 EXECUTIVE PK DR STE 225",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452414010",
"telephone_number": "937-397-1693",
"fax_number": "518-898-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-939-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "HOLLY",
"middle_name": "DENISE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.