Individual provider Active NPI

Cinnamon Rene Holsclaw, LCSW, MA ED.

  • Clinical Social Worker
  • Richfield, UT
National Provider Identifier
1558950709
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12494985-3501 Issued in UT
Practice address
635 N Main St Ste 687
Richfield, UT 84701-1895
Phone
(435) 274-7080
Fax
(435) 200-4567
NPI assigned
Jan 12, 2021
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12494985-3501 UT Primary

Addresses

Primary practice location

635 N Main St Ste 687
Richfield, UT 84701-1895

Mailing address

635 N Main St Ste 687
Richfield, UT 84701-1895
Phone (435) 274-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20241014002269 UT Practitioner - Clinical Social Worker 4587196738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

635 N Main St
Suite 687
Richfield, UT 84701-1895
Phone (435) 274-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Presence Training Solutions, LLC. Clinical CurrentSince Aug 31, 2024 Accepting new patients

Locations

635 N Main St
Ste 687
Richfield, UT 84701
Phone (435) 274-7080

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1558950709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST STE 687",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011895",
            "telephone_number": "435-274-7080",
            "fax_number": "435-200-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST STE 687",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011895",
            "telephone_number": "435-274-7080",
            "fax_number": "435-200-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSCLAW",
        "first_name": "CINNAMON",
        "middle_name": "RENE",
        "credential": "LCSW, MA ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12494985-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.