Individual provider Active NPI

Genevieve Nez Holona, LCSW

  • Clinical Social Worker
  • Window Rock, AZ
National Provider Identifier
1871884247
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11479 Issued in AZ
Practice address
# 2 Window Rock Blvd
Admin Building
Window Rock, AZ 86515-0709
Phone
(928) 871-6235
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-11479 AZ Primary

Addresses

Primary practice location

# 2 Window Rock Blvd
Admin Building
Window Rock, AZ 86515-0709

Mailing address

PO Box 709
Window Rock, AZ 86515-0709
Phone (928) 871-6235

Other identifiers 1

IdentifierTypeStateIssuer
860092335OtherAZBEHAVIORAL HEALTH SERVICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince May 6, 2024 Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

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

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1871884247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "865150709",
            "telephone_number": "928-871-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 2 WINDOW ROCK BLVD",
            "address_2": "ADMIN BUILDING",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "865150709",
            "telephone_number": "928-871-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZ HOLONA",
        "first_name": "GENEVIEVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH SERVICE",
            "identifier": "860092335",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Window Rock, AZ

Sources for this page

Verify at the official NPI Registry.