Holly Ann Albro

Individual provider Active NPI Social Worker · Valley Stream, NY

NPI 1831748656 · NPPES record last updated Sep 4, 2019

Key facts

NPI
1831748656
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
105463 (NY)
Practice address
50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6220
Phone
(516) 569-6600
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
105463NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Diana LCSW Past
since Oct 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105463 NY Yes

Addresses

Primary practice location

50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6220

Mailing address

269 Roselle St
Mineola, NY 11501-2125
Phone (516) 640-9647

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2019.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1831748656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 ROSELLE ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012125",
            "telephone_number": "516-640-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806220",
            "telephone_number": "516-569-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRO",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

All providers in Valley Stream, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.