Individual provider Active NPI

Laurel R Holland, LICSW

  • Clinical Social Worker
  • Bedford, MA
National Provider Identifier
1801989769
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106940 Issued in MA
Practice address
227 Great Road
Bedford, MA 01730
Phone
(781) 354-0594
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 106940 MA Primary

Addresses

Primary practice location

227 Great Road
Bedford, MA 01730

Mailing address

227 Great Rd
Bedford, MA 01730-2748
Phone (781) 354-0594

Other practice location 1

90 Vandenberg Dr
Hanscom AFB, MA 01731-2104
Phone (781) 225-6392

Other identifiers 1

IdentifierTypeStateIssuer
PO 4385OtherMABLUE CROSS OF MA

Other names 1

  • Laurel Ryan Brown Other name

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1801989769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 GREAT RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302748",
            "telephone_number": "781-354-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 GREAT ROAD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01730",
            "telephone_number": "781-354-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Vandenberg Dr",
            "address_purpose": "LOCATION",
            "city": "Hanscom AFB",
            "state": "MA",
            "postal_code": "017312104",
            "country_code": "US",
            "telephone_number": "781-225-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "LAUREL",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "PO 4385",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "BROWN",
            "middle_name": "RYAN",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.