Active NPI
Holly P Sensenig, LCSW
- Clinical Social Worker
- Binghamton, NY
National Provider Identifier
1649335779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R043524-1
- Practice address
- 19 Beacon St
Binghamton, NY 13901-1725 - Phone
- (607) 771-3055
- Fax
- (607) 724-5017
- NPI assigned
- Dec 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R043524-1 | NY | Primary |
Addresses
Primary practice location
19 Beacon St
Binghamton, NY 13901-1725
Mailing address
19 Beacon St
Binghamton, NY 13901-1725
Phone (607) 771-3055
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159051 | Other | CDPHP INSURANCE | |
| 125454 | Other | NY | BLUE CROSS BLUE SHIELD |
| 7480897 | Other | NY | VALUE OPTIONS |
| 953187 | Other | NY | MVP HEALTH |
| 7529427 | Other | AETNA HEALTH INSURANCE |
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 |
|---|---|---|---|
| R043524-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649335779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BEACON ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139011725",
"telephone_number": "607-771-3055",
"fax_number": "607-724-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BEACON ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139011725",
"telephone_number": "607-771-3055",
"fax_number": "607-724-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENSENIG",
"first_name": "HOLLY",
"middle_name": "P",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R043524-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP INSURANCE",
"identifier": "159051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "125454",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "7480897",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH",
"identifier": "953187",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH INSURANCE",
"identifier": "7529427",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
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.