Clay Holland III, LCSW, QCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013800 Issued in PA

Practice address

2030 Lehigh St
Suite 110
Easton, PA 18042-3853

Phone

(610) 504-2199

Fax

(610) 330-9981

NPI assigned

Sep 16, 2006

Last updated

Feb 9, 2020By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Holland Counseling Associates, P. C.

  • Clinical Psychologist
  • Easton, PA
  • NPI 1720170046
  NPD (past) Authorized official
• Carolyn I Vicchiullo PSYD

  • Psychologist
  • Easton, PA
  • NPI 1235305210
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1801992821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "SUITE 110",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853",
            "telephone_number": "610-504-2199",
            "fax_number": "610-330-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "SUITE 110",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853",
            "telephone_number": "610-504-2199",
            "fax_number": "610-330-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CLAY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW, QCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seylon Hill
• Kristine Hoestermann, MSW,LICSW, LCSW-C
• Nancy Hofmann
• Holcomb Associates, Inc.
• Holland Counseling Associates, P. C.
• Rett Landin Holmes, MSPT
• Christine C Holmfelt, LCSW
• Jordan Christopher Holter, DO
• Home Healthcare Agency LLC
• Susan Hood, RPH

• Clinical Social Worker in Easton, PA
• Providers in Easton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.