Adalgisa Barison Holtrop, MSW
Individual provider Active NPI Clinical Social Worker · Dover, NH
NPI 1821165085 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821165085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1198LICSW (NH)
- Practice address
- 35 Second Street
Dover, NH 03820 - Phone
- (603) 742-9200
- Fax
- (603) 742-4605
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1198LICSW | NH | MD | Clinical Social Worker |
| 1198 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightleaf, Inc | Past |
Accepting new patients | |
| Great Bay Mental Health Assoc Inc | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1198LICSW | NH | Yes |
Addresses
Primary practice location
35 Second Street
Dover, NH 03820
Mailing address
35 Second Street
Dover, NH 03820
Phone (603) 742-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30422915 | Medicaid | NH |
Other providers in Dover, NH
- Silvio Balzano
- Rebecca A Banaski
- Dhrubajyoti Bandyopadhyay
- Alyssa Bangrazi
- Alexandra Eileen Barbehenn
- Kara Barnes Allaire
- Rebecca Lynn Barnes-Pervere
- Lydia Jay Barnes
- Nancy Dambach Barnes
- Stephanie Elizabeth Barry
All providers in Dover, NH · Clinical Social Worker in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.