Holly Schroder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

093803 Issued in NY

Practice address

900 Main St Ste 103
Holbrook, NY 11741-1623

Phone

(631) 804-9699

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1609248558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 DONALD BLVD",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413829",
            "telephone_number": "631-804-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 103",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411623",
            "telephone_number": "631-804-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068319",
            "country_code": "US",
            "telephone_number": "631-913-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRODER",
        "first_name": "HOLLY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SC Family Health NP PLLC
• Christina Marie Scanlan
• Jennifer Marie Scanlon
• Jeanne Marie Schaefer, RPAC
• Jessica Ann Schreck, R.D.
• Jennifer Lynn Sciammarella, RN
• Charles Sciangula, DPT
• Carolyn Scott, O.D.
• Christina Marie Sears
• Lisa Ann Sessa, M.S. CCC-SLP

• Clinical Social Worker in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.