Active NPI
Marilyn C Holschuh, LCSW
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1790737435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 523-123
- Practice address
- 437 S Yellowstone Dr Ste 106
Madison, WI 53719-1096 - Phone
- (608) 268-0341
- Fax
- (608) 268-0342
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 523-123 | WI | Primary |
Addresses
Primary practice location
437 S Yellowstone Dr Ste 106
Madison, WI 53719-1096
Mailing address
6510 Grand Teton PLZ
Suite 406
Madison, WI 53719-1029
Phone (608) 833-9290
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10536 | Other | WI | DEAN HEALTH PLAN |
| 42252500 | Medicaid | WI | |
| 39517700 | Medicaid | WI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1790737435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 GRAND TETON PLZ",
"address_2": "SUITE 406",
"city": "MADISON",
"state": "WI",
"postal_code": "537191029",
"telephone_number": "608-833-9290",
"fax_number": "608-833-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 S YELLOWSTONE DR STE 106",
"city": "MADISON",
"state": "WI",
"postal_code": "537191096",
"telephone_number": "608-268-0341",
"fax_number": "608-268-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSCHUH",
"first_name": "MARILYN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "523-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "10536",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42252500",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39517700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.