Holly McMasters Cusick, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851114538 Issued in MI

Practice address

5980 S Main St Ste 101
Clarkston, MI 48346-2377

Phone

(248) 625-2970

Fax

(248) 625-6829

NPI assigned

Dec 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Michigan State University College of Human Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kindmind Behavioral HealthGroup PAC ID 3476922006, 6 clinicians

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 and National Provider Directory roles.

• Kindmind Behavioral Health

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1730897711
  Medicare reassignment Care Compare group NPD
• Kindmind Psychiatric Health

  • Psychiatry Physician
  • Clarkston, MI
  • NPI 1093409666
  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1912714718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 S MAIN ST STE 101",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462377",
            "telephone_number": "248-625-2970",
            "fax_number": "248-625-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 S MAIN ST STE 101",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462377",
            "telephone_number": "248-625-2970",
            "fax_number": "248-625-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSICK",
        "first_name": "HOLLY",
        "middle_name": "MCMASTERS",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Plum Cunningham
• Margaret Cunningham
• Elizabeth M Curtis, LPC, CAADC, NCC
• Joan Allison Curtis, PH.D.
• Tiffany Marie Curtis, BT
• Cynthia L Cookingham MD PC
• D Kaszeta Inc
• Angela Maria D'Amato
• Carolyn D'Annunzio, CNM
• Charlotte Dahlstrom

• Clinical Social Worker in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.