Jillian Holguin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05707200 Issued in NJ

Practice address

36 Society Hill Way
Tinton Falls, NJ 07724-3800

Phone

(201) 546-0909

Fax

(862) 701-2683

NPI assigned

Dec 28, 2016

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

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 and National Provider Directory roles.

• Yourself First, LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
  • NPI 1265932404
  NPD Authorized official

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1922543065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SOCIETY HILL WAY",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243800",
            "telephone_number": "732-865-4456",
            "fax_number": "862-701-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SOCIETY HILL WAY",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243800",
            "telephone_number": "201-546-0909",
            "fax_number": "862-701-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Society Hill Way",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077243800",
            "country_code": "US",
            "telephone_number": "201-546-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLGUIN",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05707200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M Henderiks, R.D.
• Jillellen Herzog, LPC
• Salim Hill, LMT
• Thomas George Hintelmann
• Linda O Hochman, PH.D.
• Hope and Healing Therapeutic Counseling Services
• Hope Center for Wellness
• Deborah Houser
• Lilia Hui, RPH
• Mary Jo Iarussi, RD

• Clinical Social Worker in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.