Holly Revel-Hough, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I1600339 Issued in OH

Practice address

123 22ND St
Toledo, OH 43604-2706

Phone

(567) 455-6478

NPI assigned

Mar 9, 2016

Sex

Female

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

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Person to Person Resources, Inc.Group PAC ID 3971973199, 2 clinicians

Practice addresses (Care Compare)

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.

• Person to Person Resources, Inc.

  • Social Worker
  • Perrysburg, OH
  • NPI 1538104633
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1801257597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8970",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436230970",
            "telephone_number": "419-475-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 22ND ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042706",
            "telephone_number": "567-455-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVEL-HOUGH",
        "first_name": "HOLLY",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1600339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Consultants of Northwest Ohio
• Retina Vitreous Associates Inc
• Adam Rettig, MD
• Janice R Rettig, RN
• Nina N. Rettig, PA-C
• Revelation4F LLC
• Revitalized Behavioral Healthcare, LLC
• Revitalized Behavioral Healthcare, LLC
• David Steele Rex, OPTICIAN
• Carolina Reyes Bueno

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.

Verify at the official NPI Registry.