Heidi A Holmer, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0031027 Issued in OH

Practice address

195 Union St Ste B1
Newark, OH 43055-3998

Phone

(740) 349-7066

Fax

(740) 345-6028

NPI assigned

Aug 8, 2007

Last updated

Apr 14, 2008By 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 1

Addresses

Other identifiers 2

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.

• Equitas Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1063239911
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1861683484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UNION ST STE B1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553998",
            "telephone_number": "740-349-7066",
            "fax_number": "740-345-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UNION ST STE B1",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553998",
            "telephone_number": "740-349-7066",
            "fax_number": "740-345-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMER",
        "first_name": "HEIDI",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0031027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10193",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI#",
            "identifier": "1376607374",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trecia Holdren, LISW-SUPR.
• Jarret Mathew Holley, MA
• Malayna Hollins
• Kathy D Hollis, LPN
• Heather Nicole Holman
• Kathleen R. Holmes
• Renae Holt
• Tina M Holt, LICDC
• Eugene Hong, M.D.
• Noelle Hookins, LPN

• Clinical Social Worker in Newark, OH
• Providers in Newark, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.