Active NPI
Jean Holland, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1578635744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R025134-1
- Practice address
- 1301 5TH Ave
New York, NY 10029-3119 - Phone
- (212) 426-3402
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 015169 | CT | |
| Clinical Social Worker | 1041C0700X | R025134-1 | NY | Primary |
Addresses
Primary practice location
1301 5TH Ave
New York, NY 10029-3119
Mailing address
78 River Rd Apt 5
Cos Cob, CT 06807-2537
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025134 | NY | MD | Psychologist |
| 015169 | CT | MD | Clinical Social Worker |
| R025134-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1578635744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 RIVER RD APT 5",
"city": "COS COB",
"state": "CT",
"postal_code": "068072537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293119",
"telephone_number": "212-426-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "015169",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R025134-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.