Individual provider Active NPI

Patricia Ann Hollick, LICSW

  • Clinical Social Worker
  • Hampton, NH
National Provider Identifier
1598806572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
601 Issued in NH
Practice address
32 Depot SQ
Hampton, NH 03842-1962
Phone
(603) 926-2240
NPI assigned
Feb 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 601 NH Primary

Addresses

Primary practice location

32 Depot SQ
Hampton, NH 03842-1962

Mailing address

12 New Rd
North Hampton, NH 03862-2127
Phone (603) 926-2240

Other identifiers 1

IdentifierTypeStateIssuer
30421883MedicaidNH

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

LicenseStateTypeSpecialty
601NHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598806572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEW RD",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622127",
            "telephone_number": "603-926-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 DEPOT SQ",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421962",
            "telephone_number": "603-926-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLICK",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30421883",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.