Active NPI
Deshisha R. Holton, LCSW
- Clinical Social Worker
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 7756
- Practice address
- PO Box 24722
Lakeland, FL 33802-4722 - Phone
- (813) 402-8780
- NPI assigned
- Nov 11, 2009
- Last updated
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW126772 | MA | |
| Clinical Social Worker | 1041C0700X | SW 7756 | FL | Primary |
Addresses
Primary practice location
PO Box 24722
Lakeland, FL 33802-4722
Mailing address
PO Box 24722
Lakeland, FL 33802-4722
Phone (813) 402-8780
Other names 1
- Ms. Dee R. Holton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11510 Brighton Knoll Loop
Riverview, FL 33579-2123
13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 7756 | FL | MD | Clinical Social Worker |
| LICSW126772 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622
101 Federal St
Boston, MA 02110
Phone (206) 744-8030
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
FL, MA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1770810764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24722",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338024722",
"telephone_number": "813-402-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 24722",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338024722",
"telephone_number": "813-402-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTON",
"first_name": "DESHISHA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2024-08-09",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126772",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 7756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEE",
"last_name": "HOLTON",
"middle_name": "R.",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lakeland, FL
- Heather C Holst, FNP
- Charde Holt, PA
- Eleanor Holt
- Karen Lynn Holter, RPH
- Matthew Holthaus, PA-C
- Holy Hands Assisted Living and Care Services Inc. (TLC Residence of North Lakeland)
- Siegfried Karl Holz, M.D.
- Home Health Agency - Hillsborough, LLC (SunCrest OMNI)
- Home Touch Alternative Inc. (hands of faith kids home)
- Hometown Homecare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.