Organization Active NPI

Holistic Social Services, Inc.

  • Clinical Social Worker
  • Berkley, MI
National Provider Identifier
1659731875
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLISTIC SOCIAL SERVICES, INC.
Practice address
3233 Coolidge Hwy
Berkley, MI 48072-1633
Phone
(248) 470-3003
Fax
(248) 674-4822
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Mrs. Indira Hall, L.M.S.W.NPI 1992101810
Title
Owner
Phone
(248) 470-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3233 Coolidge Hwy
Berkley, MI 48072-1633

Mailing address

2211 S Telegraph Rd Unit 7443
Bloomfield Hills, MI 48302-4817
Phone (248) 470-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519001059 MI Part B Supplier - Clinic/Group Practice 6709175482 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI; Waterford, MI

National Provider Directory

National Provider Directory

Locations

2211 S Telegraph Rd
Unit 7443
Bloomfield Hills, MI 48302

4523 Highland Rd
Waterford, MI 48328
Phone (248) 470-3003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1659731875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S TELEGRAPH RD UNIT 7443",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483024817",
            "telephone_number": "248-470-3003",
            "fax_number": "248-674-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633",
            "telephone_number": "248-470-3003",
            "fax_number": "248-674-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SOCIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-3003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.