Active NPI
Victoria Bailar-Holmin, MSW, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1689730285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8917
- Practice address
- 4010 Central Ave
St Petersburg, FL 33711-1239 - Phone
- (727) 327-7656
- Fax
- (727) 323-4279
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8917 | FL | Primary |
Addresses
Primary practice location
4010 Central Ave
St Petersburg, FL 33711-1239
Mailing address
4010 Central Ave
P.O.Box 10970
St Petersburg, FL 33711-1239
Phone (727) 327-7656
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 |
|---|---|---|---|
| 8917 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Youth & Family Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- White Bear Lake, MN
- NPI 1073098810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1689730285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 CENTRAL AVE",
"address_2": "P.O.BOX 10970",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656",
"fax_number": "727-323-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656",
"fax_number": "727-323-4279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILAR-HOLMIN",
"first_name": "VICTORIA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "8917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.