Joseph Brent Holm Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8345472-3501 Issued in UT

Practice address

433 S Diamond Ranch Pkwy W
Hurricane, UT 84737-3020

Phone

(435) 635-4297

NPI assigned

Dec 11, 2012

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. George Children and Family Psychiatric Center PCGroup PAC ID 5294906855, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. George Children & Family Psychiatric Center PC

  • Specialist
  • St George, UT
  • NPI 1225326044
  Medicare reassignment Care Compare group NPD
• Riverwalk Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St George, UT
  • NPI 1588235188
  NPD Authorized official

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1669717104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S DIAMOND RANCH PKWY W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373020",
            "telephone_number": "435-635-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S DIAMOND RANCH PKWY W",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373020",
            "telephone_number": "435-635-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "JOSEPH",
        "middle_name": "BRENT",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "8345472-3502",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8345472-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbie Hermansen
• Herritage Homes LLC
• High Desert Professional Health Services, LLC
• Nichole Hill, LCSW
• Jennifer Francesca Hinton, L.P.C.
• Brendon John Holmes, D.O.
• Marcus Homer, ATC
• Hope Rising Detox and Rehab
• Hurricane Dialysis Center (University of Utah)
• Hurricane Family Pharmacy

• Clinical Social Worker in Hurricane, UT
• Providers in Hurricane, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.