Maria Holm Licensed Clinical Social Worker Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARIA HOLM LICENSED CLINICAL SOCIAL WORKER INC

Practice address

751 S Richmond Rd Ste D
Ridgecrest, CA 93555-8217

Phone

(909) 932-1069

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Maria Holm, LCSWNPI 1265863666

Title

Licensed Clinical Social Worker

Phone

(760) 371-5522

Specialties & licenses 1

Addresses

Other names 1

• Social Therapy Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria T. Holm, LCSW, MSW, ASW

  • Clinical Social Worker
  • Upland, CA
  • NPI 1265863666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1699448084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935560955",
            "telephone_number": "760-371-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S RICHMOND RD STE D",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935558217",
            "telephone_number": "909-932-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA HOLM LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "760-371-5522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "socialtherapyservices@hush.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA secured Email - Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Lakeland St",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935555336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Social Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payam Malekhedayat, RPH
• Daniel H Mallory, O.D.
• Ma Jinky Hechanova Mallory, RN
• Jami Allison Maloney, MSW, ASW
• Iosef Mamaliger, D.D.S.
• Marley Creek Rural Health Inc
• Emily Marlow, FNP
• Thomas Arnold Martin, PH.D.
• William P Martin Jr., PHARMD
• Serena Villa Martinez

• Clinical Social Worker in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.