Kevin E Holder, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006710 Issued in VA

Practice address

6801 Lucy Corr CT
Chesterfield, VA 23832-6657

Phone

(804) 748-1227

Fax

(804) 717-6659

NPI assigned

Jan 15, 2008

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Chesterfield Community Services Board - Icf Pine Forest

  • Intellectual Disabilities Intermediate Care Facility
  • Chesterfield, VA
  • NPI 1033397542
  NPD
• County of Chesterfield Virginia

  • Ambulance
  • Chesterfield, VA
  • NPI 1174578702
  NPD
• County of Chesterfield Virginia

  • Geriatric Psychiatry Physician
  • Chesterfield, VA
  • NPI 1336293000

  Clinical

  NPD
• Chesterfield County Mental Health

  • Community/Behavioral Health Agency
  • Chesterfield, VA
  • NPI 1538605613
  NPD (past)
• Chesterfield County Mental Health

  • Nursing Care Agency
  • Chesterfield, VA
  • NPI 1609253897
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1730365271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LUCY CORR CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326657",
            "telephone_number": "804-748-1227",
            "fax_number": "804-717-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LUCY CORR CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326657",
            "telephone_number": "804-748-1227",
            "fax_number": "804-717-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Kelly Hillis
• Rebecca A Hite, COTA/L
• Michelle Ann Hixson
• HNH Recovery LLC
• Jan Trittipoe Hogue, COTA/L
• Mary Parke Holland
• Monica Latriese Holloway, LPC, NCC
• Dana Holmes
• Jay Carter Holmes, FNP-BC
• Hope for the Home, Inc

• Clinical Social Worker in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.