Active NPI
Landon Giles Holt, CSW
- Social Worker
- Owensboro, KY
National Provider Identifier
1609442631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 255679
- Practice address
- 1925 Frederica St Ste 200
Owensboro, KY 42301-4818 - Phone
- (270) 926-2484
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- 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 | 255679 | KY | Primary |
Addresses
Primary practice location
1925 Frederica St Ste 200
Owensboro, KY 42301-4818
Mailing address
300 Hope St
Mt Washington, KY 40047-7757
Phone (502) 538-1000
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 |
|---|---|---|---|
| 255679 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1609442631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOPE ST",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400477757",
"telephone_number": "502-538-1000",
"fax_number": "502-538-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 FREDERICA ST STE 200",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423014818",
"telephone_number": "270-926-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "LANDON",
"middle_name": "GILES",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "255679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.