Individual provider Active NPI

Sarah Holien, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1750539326
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0011946 Issued in DE
Practice address
1673 S State St Ste a
Dover, DE 19901-5148
Phone
(302) 678-4558
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5589 OK
Clinical Social Worker 1041C0700X Q1-0011946 DE Primary

Addresses

Primary practice location

1673 S State St Ste a
Dover, DE 19901-5148

Mailing address

908 Woodcrest Dr Apt 3-5
Dover, DE 19904-2400
Phone (580) 273-7048

Other practice location 1

412 E. Thomas
Stillwater, OK 74075-2600
Phone (405) 372-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20160906002607 OK Practitioner - Clinical Social Worker 3678869369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5589OKMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1750539326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WOODCREST DR APT 3-5",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042400",
            "telephone_number": "580-273-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 S STATE ST STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015148",
            "telephone_number": "302-678-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 E. Thomas",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740752600",
            "country_code": "US",
            "telephone_number": "405-372-2202",
            "fax_number": "405-445-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLIEN",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5589",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0011946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.