Individual provider Active NPI

Holli Brice, MSW, LCSW, LSWAIC

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1891068367
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10713 Issued in OR
Practice address
410 E 20TH St
Vancouver, WA 98663-3316
Phone
(971) 231-4046
NPI assigned
Feb 14, 2012
Reactivated
May 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X L10713 OR Primary

Addresses

Primary practice location

410 E 20TH St
Vancouver, WA 98663-3316

Mailing address

PO Box 873813
Vancouver, WA 98687-3813
Phone (971) 231-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 7, 2025 through Dec 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L10713ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1891068367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873813",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986873813",
            "telephone_number": "971-231-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E 20TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633316",
            "telephone_number": "971-231-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "HOLLI",
        "credential": "MSW, LCSW, LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "deactivation_date": "2017-04-13",
        "reactivation_date": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.