Deirdre Ann Ekholdt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009064 Issued in CT

Practice address

17675 Azul Dr
Bradenton, FL 34202-2626

Phone

(224) 300-3999

NPI assigned

Jan 31, 2012

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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, 1996

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CT Integrated Pain Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Westport, CT
  • NPI 1013456896
  NPD
• Family Service of Lake County

  • Community/Behavioral Health Agency
  • Highland Park, IL
  • NPI 1649320847
  NPD (past)
• Positive Directions - the Center for Prevention and Counseling Inc

  • Community/Behavioral Health Agency
  • Westport, CT
  • NPI 1629217286
  NPD (past)
• Positive Directions - the Center for Prevention and Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westport, CT
  • NPI 1629126875
  NPD (past)

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1841562337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHARCOAL HILL RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801636",
            "telephone_number": "224-300-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17675 AZUL DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342022626",
            "telephone_number": "224-300-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKHOLDT",
        "first_name": "DEIRDRE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "24322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009064",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Eid
• Jeffrey Eimer
• Drexyl Eitniear
• Ekg Panel of Blake
• Erfon Ekhlasi, MD
• Charlotte Ekstrom
• Jacqueline Cristina Ekstrom, LCSW
• Waguih El Masry, M.D
• Joyce El
• Eldercare of Sarasota, PLLC

• Clinical Social Worker in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.