Individual provider Active NPI

Holli Handleman Odonnell, LCSW

  • Clinical Social Worker
  • Flourtown, PA
National Provider Identifier
1770784068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014130 Issued in PA
Practice address
720 Bethlehem Pike
Flourtown, PA 19031-1313
Phone
(215) 233-2425
Fax
(215) 233-2435
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014130 PA Primary

Addresses

Primary practice location

720 Bethlehem Pike
Flourtown, PA 19031-1313

Mailing address

20 Sugar Maple LN
Horsham, PA 19044-3805
Phone (215) 205-7292

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW014130PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Philmont Guidance Center, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770784068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUGAR MAPLE LN",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190443805",
            "telephone_number": "215-205-7292",
            "fax_number": "215-914-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BETHLEHEM PIKE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311313",
            "telephone_number": "215-233-2425",
            "fax_number": "215-233-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEMAN ODONNELL",
        "first_name": "HOLLI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flourtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.