Holly Dale Hustadhardgrove, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 7484 Issued in CA

Practice address

2730 Wilshire Blvd
Suite 620
Santa Monica, CA 90403-4743

Phone

(310) 453-5747

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1700910882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD",
            "address_2": "SUITE 415",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035808",
            "telephone_number": "310-453-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 620",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034743",
            "telephone_number": "310-453-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTADHARDGROVE",
        "first_name": "HOLLY",
        "middle_name": "DALE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 7484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Hunter
• Elissa Beth Hurand, LPCC
• Priti Patel Hurd, PA
• Nasya Hurtado, LAC.
• Sona Hurtz
• Zachary Hutchens
• Gabriella Hutchinson
• William B Hutchinson Jr., MD
• Jeffrey I Hutter, CLINICAL PSYCHOLOGY
• Rochelle Beyer Hutter, MED, LMFT

• Clinical Social Worker in Santa Monica, CA
• Providers in Santa Monica, 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 May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.